Vivian Nell Hannon, CRNP
Individual provider Active NPI Family Nurse Practitioner · Guntersville, AL
NPI 1346220191 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1346220191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1066616 (AL)
- Practice address
- 1241 Blount Avenue
Guntersville, AL 35976-1831 - Phone
- (256) 582-6377
- Fax
- (256) 582-6376
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vivian N Hannon
Practice addresses (Care Compare)
1241 Blount Ave
Guntersville, AL 35976-1831
Phone (256) 582-6377
Hospital & facility affiliations
- Marshall Medical Centers
- Highlands Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Guntersville Family Practice Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 12, 1996 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081017000393 | AL | Practitioner - Nurse Practitioner | 0547223463 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1066616 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vivian N Hannon | Family | Current |
Accepting new patients |
| Vivian Nell Hannon | Current |
Accepting new patients |
Locations
1241 Blount Ave
Guntersville, AL 35976
Phone (256) 582-6377
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1066616 | AL | Yes |
Addresses
Primary practice location
1241 Blount Avenue
Guntersville, AL 35976-1831
Mailing address
354 Cardessa Lane
Grant, AL 35747-9222
Phone (256) 728-2330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051031359 | Other | AL | BCBS OF AL |
| 51031359 | Other | AL | BCBS |
| 000031359 | Medicaid | AL |
Other providers in Guntersville, AL
- Cynthia Ann Hamilton
- Jaimie Hammond
- Rachelle Lea Hampton
- Cassandra Hand
- Page P Hannah
- Haralson Drug Company Inc
- Paul F Hard
- Robert W Hargraves
- Christopher Leo Harman
- Christopher Keith Harper
All providers in Guntersville, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.