Active NPI
Waled Khaled Hasan Sr.
- Long-Term Care Clinical Nurse Specialist
- Cincinnati, OH
National Provider Identifier
1376384867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long-Term Care Clinical Nurse Specialist
- License
- SV925426
- Practice address
- 5884 Cheviot Rd
Cincinnati, OH 45247-6205 - Phone
- (513) 239-9666
- NPI assigned
- Jun 6, 2024
- Last updated
- Jun 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SV925426 | OH | |
| Family Health Clinical Nurse Specialist | 364SF0001X | SV925426 | OH | |
| Long-Term Care Clinical Nurse Specialist | 364SL0600X | SV925426 | OH | Primary |
| School Counselor | 101YS0200X | SV925426 | OH | |
| Health Service Psychologist | 103TH0100X | SV925426 | OH | |
| School Social Worker | 1041S0200X | SV925426 | OH | |
| Marriage & Family Therapist | 106H00000X | SV925426 | OH | |
| Nutrition Chiropractor | 111NN1001X | SV925426 | OH | |
| Sports Physician Chiropractor | 111NS0005X | SV925426 | OH | |
| Dentist | 122300000X | SV925426 | OH | |
| Day Training/Habilitation Specialist | 373H00000X | NU | ||
| Registered Nurse | 163W00000X | SV925426 | OH | |
| Flight Registered Nurse | 163WF0300X | SV925426 | OH | |
| Home Health Registered Nurse | 163WH0200X | SV925426 | OH | |
| School Registered Nurse | 163WS0200X | SV925426 | OH |
Addresses
Primary practice location
5884 Cheviot Rd
Cincinnati, OH 45247-6205
Mailing address
5884 Cheviot Rd
Cincinnati, OH 45247-6205
Phone (513) 239-9666
Other practice location 1
8061 Old Crow Ct
West Chester, OH 45069-2098
Phone (513) 239-9666
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SV925426 | OH | MD | Flight Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1376384867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5884 CHEVIOT RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452476205",
"telephone_number": "513-239-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5884 CHEVIOT RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452476205",
"telephone_number": "513-239-9666"
}
],
"practiceLocations": [
{
"address_1": "8061 Old Crow Ct",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "OH",
"postal_code": "450692098",
"country_code": "US",
"telephone_number": "513-239-9666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASAN",
"first_name": "WALED",
"middle_name": "KHALED",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "SV925426",
"primary": false
},
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "OH",
"license": "SV925426",
"primary": false
},
{
"code": "364SL0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Long-Term Care",
"state": "OH",
"license": "SV925426",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "OH",
"license": "SV925426",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "OH",
"license": "SV925426",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "OH",
"license": "SV925426",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "SV925426",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "OH",
"license": "SV925426",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "OH",
"license": "SV925426",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "SV925426",
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "SV925426",
"primary": false
},
{
"code": "163WF0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Flight",
"state": "OH",
"license": "SV925426",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OH",
"license": "SV925426",
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "OH",
"license": "SV925426",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.