Individual provider Active NPI

Dianne Carol Hanson, NP

  • Adult Health Nurse Practitioner
  • Floral Park, NY
National Provider Identifier
1336285279
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303830 Issued in NY
Practice address
17 Lexington St
Floral Park, NY 11001-2825
Phone
(516) 659-2620
Fax
(855) 839-6113
NPI assigned
Jan 29, 2007
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303830 NY Primary

Addresses

Primary practice location

17 Lexington St
Floral Park, NY 11001-2825

Mailing address

17 Lexington St
Floral Park, NY 11001-2825
Phone (516) 659-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040331001657 NY Practitioner - Nurse Practitioner 4880686724 Reassigns benefits to 2 organizations
Practice locations: Floral Park, NY; New Hyde Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17 Lexington St
Floral Park, NY 11001-2825
Phone (516) 354-2945

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
303830NYMDBody Imaging Physician
F303830NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Long Island Jewish Healthcare CurrentSince Mar 20, 2007 Accepting new patients
North Shore Long Island Jewish Health Care Inc CurrentSince Mar 20, 2007 Accepting new patients
Karat Health, Inc. Past Accepting new patients
Leon Hodes MD PC PastSince Oct 2, 2012 Accepting new patients
Samuel Field Ym&Ywha PastSince Feb 24, 1994 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1000 Northern Blvd
Ste 230
Great Neck, NY 11021
Phone (516) 627-4433

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

27005 76th Ave
North New Hyde Pk, NY 11040

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

Organizations & group practices 7

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 1

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1336285279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LEXINGTON ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012825",
            "telephone_number": "516-659-2620",
            "fax_number": "855-839-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LEXINGTON ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012825",
            "telephone_number": "516-659-2620",
            "fax_number": "855-839-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "DIANNE",
        "middle_name": "CAROL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

Verify at the official NPI Registry.