NPIMap

Individual provider Active NPI

Angela M Hannaway, PA

  • Physician Assistant
  • Post, TX
National Provider Identifier
1235326158
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05442 Issued in TX
Practice address
1104 N Avenue S
Post, TX 79356-2115
Phone
(806) 495-2853
Fax
(806) 782-0216
NPI assigned
Sep 25, 2007
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA05442 TX Primary

Addresses

Primary practice location

1104 N Avenue S
Post, TX 79356-2115

Mailing address

2600 Lockwood
Tahoka, TX 79373-2115
Phone (806) 495-2853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071120000469 TX Practitioner - Physician Assistant 4688762958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lynn County Hospital DistrictGroup PAC ID 9739149295, 16 clinicians

Practice addresses (Care Compare)

1104 N Ave S
Post, TX 79356-2115
Phone (806) 998-4533

2600 Lockwood St
Tahoka, TX 79373-4118
Phone 8069984533320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA05442TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn County Hospital District CurrentSince Oct 4, 2023 Accepting new patients
Lynn County Hospital District CurrentSince Oct 4, 2023 Accepting new patients
Lynnwood Assisted Living Past Accepting new patients
Lynn County Hospital District Past Accepting new patients
Lynn County Hospital District Past Accepting new patients
Lynn County Hospital District Past Accepting new patients
Lynn County Hospital District Past Accepting new patients
Texas Tech University Health Sciences Center University Associates Past Accepting new patients
Lynn County Hospital District Past Accepting new patients

Locations

1104 N Avenue S
Post, TX 79356
Phone (806) 495-2853

2600 Lockwood St
Tahoka, TX 79373
Phone (806) 998-4533

Interoperability endpoints

  • Direct secure messaging: angela.hannaway@direct.myteamcare.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/lynncty-64b802e7

Organizations & group practices 9

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

Hospital & facility affiliations 10

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1235326158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LOCKWOOD",
            "city": "TAHOKA",
            "state": "TX",
            "postal_code": "793732115",
            "telephone_number": "806-495-2853",
            "fax_number": "806-495-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N AVENUE S",
            "city": "POST",
            "state": "TX",
            "postal_code": "793562115",
            "telephone_number": "806-495-2853",
            "fax_number": "806-782-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAWAY",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post, TX

Sources for this page

Verify at the official NPI Registry.