Individual provider Active NPI

Nancy Rose Hanover, CCC-SLP

  • Speech-Language Pathologist
  • Buffalo, NY
National Provider Identifier
1336424936
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004651 Issued in NY
Practice address
1115 Campbell Blvd.
Left
Buffalo, NY 14228
Phone
(716) 579-2547
NPI assigned
Oct 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 004651 NY Primary

Addresses

Primary practice location

1115 Campbell Blvd.
Left
Buffalo, NY 14228

Mailing address

1115 Campbell Blvd.
Left
Buffalo, NY 14228
Phone (716) 579-2547

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1336424936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 CAMPBELL BLVD.",
            "address_2": "LEFT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14228",
            "telephone_number": "716-579-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 CAMPBELL BLVD.",
            "address_2": "LEFT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14228",
            "telephone_number": "716-579-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANOVER",
        "first_name": "NANCY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.