Individual provider Active NPI

Debra A Hannah, CNP

  • Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1285711887
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP04889 Issued in OH
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2382461MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000674 OH Practitioner - Nurse Practitioner 8022007194 Reassigns benefits to 5 organizations

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
Wound Med LLCGroup PAC ID 2769916915, 33 clinicians

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

LicenseStateTypeSpecialty
NP04889OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince Mar 5, 2026 Accepting new patients
Palliative Care Support Solutions, LLC CurrentSince Jun 1, 2022 Accepting new patients
Marion Pain Center, LLC CurrentSince Aug 1, 2021 Accepting new patients
Marion Pain Center, LLC CurrentSince Aug 1, 2021 Accepting new patients
Caremed Ohio LLC CurrentSince Nov 1, 2024 Accepting new patients
Wound Med LLC CurrentSince Dec 1, 2024 Accepting new patients
Doctors House Call of Columbus, LLC. PastSince Aug 27, 2010 Accepting new patients
BKC Pain Specialists, LLC Past Accepting new patients
Infinity Health Care, LLC PastSince Jul 1, 2015 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

  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.