Individual provider Active NPI

Hannah Van Allen, N.P

  • Family Nurse Practitioner
  • Warren, MI
National Provider Identifier
1154793750
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704292398 Issued in MI
Practice address
11270 E 13 Mile Rd
Suite 4
Warren, MI 48093-2599
Phone
(586) 574-0630
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704292398 MI Primary

Addresses

Primary practice location

11270 E 13 Mile Rd
Suite 4
Warren, MI 48093-2599

Mailing address

11270 E 13 Mile Rd
Suite 4
Warren, MI 48093-2599
Phone (586) 574-0630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704292398MIMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: hannah.van.allen.1@14995.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1154793750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11270 E 13 MILE RD",
            "address_2": "SUITE 4",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932599",
            "telephone_number": "586-574-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11270 E 13 MILE RD",
            "address_2": "SUITE 4",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932599",
            "telephone_number": "586-574-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ALLEN",
        "first_name": "HANNAH",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704292398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.