Lois P Hanna, PA-C
Individual provider Active NPI Medical Physician Assistant · Rockingham, VA
NPI 1194796508 · NPPES record last updated Mar 12, 2018
Key facts
- NPI
- 1194796508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 0110006120 (VA)
- Practice address
- 2006 Health Campus Dr
Rockingham, VA 22801-8679 - Phone
- (540) 689-7400
- Fax
- (757) 963-9617
- NPI assigned
- Feb 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110006120 | VA | MD | Medical Physician Assistant |
| 319 | WV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbrier Clinic, Inc. | Past | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Interoperability endpoints
- lois.hanna.1@6482.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110006120 | VA | Yes |
| Medical Physician Assistant | 363AM0700X | 319 | WV |
Addresses
Primary practice location
2006 Health Campus Dr
Rockingham, VA 22801-8679
Mailing address
PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 689-7400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194796508 | Medicaid | VA |
Other providers in Rockingham, VA
- Lidiya Gutnikova
- Sheila Haaland
- Tyler Haggerty
- Decker Hall
- Neil C. Hall
- Shannon Jenkins Hardigree
- Heather Lynn Harper Palmer
- Jennifer Dawn Harper
- Harrisonburg Emergency Physicians, LLC
- Michael Hartman
All providers in Rockingham, VA · Medical Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.