Active NPI
Kristen M Hanley, M.D.
- Pediatrics Physician
- Irwin, PA
National Provider Identifier
1255535407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD433602
- Practice address
- 8791 Barnes Lake Rd
Suite 202
Irwin, PA 15642-3176 - Phone
- (724) 864-6824
- Fax
- (724) 864-6837
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MT185728 | PA | |
| Pediatrics Physician | 208000000X | MD433602 | PA | Primary |
Addresses
Primary practice location
8791 Barnes Lake Rd
Suite 202
Irwin, PA 15642-3176
Mailing address
11279 Perry Hwy
Suite 450
Wexford, PA 15090-9381
Phone (724) 933-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD433602 | PA | MD | Pediatrics Physician |
| MT185728 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Community Pediatrics | Past | Accepting new patients | |
| Children'S Community Care | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- kristen.m.hanley@upmcdirect.com
- khanley@direct.excelahealth.org
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Wexford, PA
- NPI 1659339547
-
- Dermatology Physician
- Monroeville, PA
- NPI 1760932099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270166400000",
"number": "1255535407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11279 PERRY HWY",
"address_2": "SUITE 450",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909381",
"telephone_number": "724-933-1100",
"fax_number": "724-933-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8791 BARNES LAKE RD",
"address_2": "SUITE 202",
"city": "IRWIN",
"state": "PA",
"postal_code": "156423176",
"telephone_number": "724-864-6824",
"fax_number": "724-864-6837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLEY",
"first_name": "KRISTEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2010-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT185728",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD433602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irwin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.