Individual provider Active NPI

Emily Ann Hanna, NP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1205209194
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.17422-NP Issued in KY
Practice address
5080 Delhi Rd
Cincinnati, OH 45238-5343
Phone
(523) 347-1925
Fax
(513) 347-1926
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1146506 KY
Registered Nurse 163W00000X 345164 OH
Nurse Practitioner 363L00000X 3009889 KY
Family Nurse Practitioner 363LF0000X 17422 OH
Family Nurse Practitioner 363LF0000X COA.17422-NP KY Primary

Addresses

Primary practice location

5080 Delhi Rd
Cincinnati, OH 45238-5343

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

Other practice location 1

375 Cross Roads Blvd
Cold Spring, KY 41076-2202
Phone (859) 957-1531

Other names 1

  • Emily Lyle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151203002169 OH Practitioner - Nurse Practitioner 2769782333 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians

Practice addresses (Care Compare)

5999 Bender Rd
Cincinnati, OH 45233-1601
Phone (513) 922-1440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1146506KYMDRegistered Nurse
345164OHMDRegistered Nurse
COA.17422-NPKYMDFamily Nurse Practitioner
17422OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Jun 4, 2018 Accepting new patients
Vpa PC CurrentSince Jun 4, 2018 Accepting new patients
Vpa PC Current Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Nov 3, 2015 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince May 4, 2025 Accepting new patients

Locations (25 of 40)

335 Illinois St
Crystal Lake, IL 60014
Phone (815) 459-7791

1167 E Hopson St
Bad Axe, MI 48413
Phone (989) 269-9983

4782 Hospital Dr
Cass City, MI 48726
Phone (989) 872-2174

47901 Sugarbush Rd
Chesterfield, MI 48047
Phone (586) 210-7101

10735 Bogie Lake Rd
Commerce Twp, MI 48382
Phone (248) 354-3222

2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990

34225 Grand River Ave
Farmington Hills, MI 48335
Phone (248) 477-7373

512 Beach St
Fenton, MI 48430
Phone (810) 629-4117

G1069 N Ballenger Hwy
Flint, MI 48504
Phone (810) 235-2006

4436 Beecher Rd
Flint, MI 48532
Phone (810) 223-9324

1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518

11941 Belsay Rd
Grand Blanc, MI 48439
Phone (810) 694-1970

3003 W Grand River Ave
Howell, MI 48843
Phone (517) 323-9133

2525 Demille Blvd
Lapeer, MI 48446
Phone (313) 590-9170

14900 Middlebelt Rd
Livonia, MI 48154
Phone (734) 425-4200

610 W Elm Ave
Monroe, MI 48162
Phone (734) 240-9670

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

24500 Meadowbrook Rd
Novi, MI 48375
Phone (248) 477-2000

22700 Greater Mack Ave
St Clair Shrs, MI 48080
Phone (586) 443-4910

951 Hickory Creek Dr
Temperance, MI 48182
Phone (734) 206-8200

2685 W Maple Rd
Troy, MI 48084
Phone (248) 262-2357

31830 Ryan Rd
Warren, MI 48092
Phone (586) 795-5862

29800 Hoover Rd
Warren, MI 48093
Phone (586) 574-3444

1901 N Telegraph Rd
Waterford, MI 48328
Phone (248) 732-0906

6535 Drake Rd
West Bloomfield, MI 48322
Phone (248) 592-2000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1205209194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 DELHI RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452385343",
            "telephone_number": "523-347-1925",
            "fax_number": "513-347-1926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Cross Roads Blvd",
            "address_purpose": "LOCATION",
            "city": "Cold Spring",
            "state": "KY",
            "postal_code": "410762202",
            "country_code": "US",
            "telephone_number": "859-957-1531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1146506",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "345164",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009889",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "17422",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "COA.17422-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "LYLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.