Katelyn Hannivan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3000 Latrobe Dr Ste B
Charlotte, NC 28211-5227

Phone

(734) 756-1859

NPI assigned

Jul 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1205389103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W MARTIN LUTHER KING BLVD APT 1906",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023076",
            "telephone_number": "734-756-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 LATROBE DR STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115227",
            "telephone_number": "734-756-1859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "669 Pheasant Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481883167",
            "country_code": "US",
            "telephone_number": "734-756-1859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNIVAN",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Denise Hannay
• Mariya M Hanneman, PA-C
• Anna Hannigan, D.D.S., M.S.
• Katie Hannigan, CHES
• Steven Joseph Hannigan, MD
• Jennifer Pitts Hanopole, PA-C
• James Clement Hanrahan, LCMHC
• Philip Anthony Hanrahan, M.D.
• Sachin Jamnadas Hansalia, M.D.
• McKenna R Hansell

• Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.