Mary Hanna, NP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95006242 Issued in CA

Practice address

32144 Agoura Rd Ste 112
Westlake Village, CA 91361-4043

Phone

(818) 208-1264

NPI assigned

Jul 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Karin I Harp MD IncGroup PAC ID 7810134459, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Karin I. Harp M.D., Inc.

  dba Apex Dermatology

  • Dermatology Physician
  • Westlake Village, CA
  • NPI 1720328263
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1396198479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W UNION ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033628",
            "telephone_number": "888-223-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD STE 112",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614043",
            "telephone_number": "818-208-1264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 S Brookhurst St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043563",
            "country_code": "US",
            "telephone_number": "714-991-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MARY",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95006242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Hamrell, LCSW
• April Michelle Haney, LMFT
• William Mack Hang, DDS, MSD
• Laila Hanig, OT
• Genine Ivy Hanin, ED.D.
• Celia Hansen
• Hanzelik and Horton, MDS, Inc.
• Jennifer Lynn Hardin, BCBA
• Patrick Hardin, DC
• Laura Dawn Harman

• Primary Care Nurse Practitioner in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.