Active NPI
Debra A Hannah, CNP
- Nurse Practitioner
- Hendersonville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP04889
- Practice address
- 131 Saundersville Rd
Suite 160
Hendersonville, TN 37075-8903 - Phone
- (615) 824-3737
- Fax
- (855) 540-4722
- NPI assigned
- Nov 1, 2006
- Last updated
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP04889 | OH | Primary |
Addresses
Primary practice location
131 Saundersville Rd
Suite 160
Hendersonville, TN 37075-8903
Mailing address
6400 E Broad St
Suite 200
Columbus, OH 43213-1505
Phone (614) 779-0381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2382461 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3550 Northfield Rd
Shaker Heights, OH 44122-5249
Phone (216) 752-5600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP04889 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provider Partners Care Management LP | Nurse Practitioner | Current | Accepting new patients |
| Palliative Care Support Solutions, LLC | Current | Accepting new patients | |
| Marion Pain Center, LLC | Current | Accepting new patients | |
| Marion Pain Center, LLC | Current | Accepting new patients | |
| Caremed Ohio LLC | Current | Accepting new patients | |
| Wound Med LLC | Current | Accepting new patients | |
| Doctors House Call of Columbus, LLC. | Past | Accepting new patients | |
| BKC Pain Specialists, LLC | Past | Accepting new patients | |
| Infinity Health Care, LLC | Past | Accepting new patients | |
| Psychological Transitions, Inc | Past | Accepting new patients |
Locations
300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677
26261 Main St
Coolville, OH 45723
Phone (740) 350-9095
26261 Main St
Ste 2
Coolville, OH 45723
Phone (740) 350-9095
117 Jacob Parrot Rd
Kenton, OH 43326
Phone (419) 674-4197
1065 Delaware Ave
Ste A
Marion, OH 43302
Phone (614) 568-4646
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 10
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.
-
- Nursing Care Agency
- Shaker Heights, OH
- NPI 1790521060
-
- Multi-Specialty Clinic/Center
- Toledo, OH
- NPI 1669123949
-
dba BKC Pain Specialists LLC.
- Pain Medicine (Anesthesiology) Physician
- Marion, OH
- NPI 1326360082
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Coolville, OH
- NPI 1154941417
-
- Durable Medical Equipment & Medical Supplies
- Marion, OH
- NPI 1548824535
-
- Pain Medicine (Anesthesiology) Physician
- Marion, OH
- NPI 1760779664
-
- Health Service Clinic/Center
- Columbus, OH
- NPI 1013070374
-
- Nursing Care Agency
- Westlake, OH
- NPI 1902851587
-
- Clinical Psychologist
- Port Clinton, OH
- NPI 1902914278
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ohio State University Dodd Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
dba Ohio State University Harding Hospital
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
-
dba Riverside Methodist Hospital
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
dba OhioHealth Laboratory Systems
- Clinical Medical Laboratory
- Columbus, OH
- NPI 1710916945
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1285711887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 E BROAD ST",
"address_2": "SUITE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131505",
"telephone_number": "614-779-0381",
"fax_number": "855-540-4722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 SAUNDERSVILLE RD",
"address_2": "SUITE 160",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370758903",
"telephone_number": "615-824-3737",
"fax_number": "855-540-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNAH",
"first_name": "DEBRA",
"middle_name": "A",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP04889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2382461",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.