Individual provider Active NPI

Maureen Hanna, PNP-PC

  • Pediatric Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1265101992
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95018103 Issued in CA
Practice address
3450 3Rd St BLDG 2
San Francisco, CA 94124-1443
Phone
(415) 697-0500
Fax
(415) 697-0501
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95018103 CA
Pediatric Nurse Practitioner 363LP0200X 95018103 CA Primary

Addresses

Primary practice location

3450 3Rd St BLDG 2
San Francisco, CA 94124-1443

Mailing address

229 7TH St
San Francisco, CA 94103-4003
Phone (415) 503-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220412002071 CA Order and Referring Only - Nurse Practitioner 4981090370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95018103CAMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: maureen.may.p1@direct.smhc.nextgenshare.com
  • Direct secure messaging: mmay581849@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1265101992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 7TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034003",
            "telephone_number": "415-503-6000",
            "fax_number": "415-503-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 3RD ST BLDG 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241443",
            "telephone_number": "415-697-0500",
            "fax_number": "415-697-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MAUREEN",
        "name_prefix": "Ms.",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95018103",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95018103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.