Jennifer A. Hanley, DNP PMH/FNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201498 Issued in NC

Practice address

309 Dogwood LNDG
Vass, NC 28394

Phone

(910) 992-8934

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• B & D Integrated Health Services

  • Family Medicine Physician
  • Durham, NC
  • NPI 1215022926

  Psychiatric/Mental Health

  Medicare reassignment NPD
• LLD Laboratories, LLC

  • Clinical Medical Laboratory
  • Durham, NC
  • NPI 1295196780
  Medicare reassignment NPD
• University of North Carolina at Chapel Hill

  dba UNC Faculty Physicians

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200
  Medicare reassignment NPD
• B & D Integrated Health Services

  • Family Medicine Physician
  • Wake Forest, NC
  • NPI 1689029605

  Psychiatric/Mental Health

  NPD
• University of North Carolina at Chapel Hill

  dba UNC REACCH Enhanced Primary Care

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1972912285
  NPD
• Gabriele Jones, PHD, PA

  • Clinical Psychologist
  • Pinehurst, NC
  • NPI 1588911184
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235249533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 DOGWOOD LNDG",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283949202",
            "telephone_number": "910-992-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 DOGWOOD LNDG",
            "city": "VASS",
            "state": "NC",
            "postal_code": "28394",
            "telephone_number": "910-992-8934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Trotter Hills Circle",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283749796",
            "country_code": "US",
            "telephone_number": "910-255-1000",
            "fax_number": "910-255-1045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DNP PMH/FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN11884",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "154189",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "APN1184",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "201498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6113100",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Equijourney International, LLC
• Kelly Erkenbrack, MSW, LCSW
• Rhonda Lea Falton, LCSW-A
• FHPG, LLC
• Lindsey Grace Gately
• Huston Lewis Hastie, DMD
• Joyce Hester
• Louis Joseph Marchetti, MD
• McKeithen Family Care Home
• Moore Family Care PA

• Psychiatric/Mental Health Nurse Practitioner in Vass, NC
• Providers in Vass, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.