Stacey Ann Hanrahan, BSN, MN, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30005387 Issued in WA

Practice address

945 Goethals Dr
Suite 300
Richland, WA 99352-3552

Phone

(509) 943-3196

Fax

(509) 946-0455

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stacey Ann Cummings Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Nurse Practitioner

Practice roles

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.

• Cardiology Associates of Tri-Cities LLC

  • Cardiovascular Disease Physician
  • Kennewick, WA
  • NPI 1881904308
  NPD (past)
• Our Lady of Lourdes Health Center

  dba Lourdes Family Health Center

  • Primary Care Clinic/Center
  • Connell, WA
  • NPI 1538213616
  NPD (past)
• Our Lady of Lourdes Health Center

  dba Lourdes Urology East

  • Urology Physician
  • Pasco, WA
  • NPI 1649785569
  NPD (past)
• Providence Health & Services-Wa

  dba NW Heart & Lung Surgical Assoc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Spokane, WA
  • NPI 1538311287
  NPD (past)
• Tri Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
  • NPI 1659995504
  NPD (past)
• Boise State Health Center

  dba Boise State University

  • Student Health Clinic/Center
  • Boise, ID
  • NPI 1194865444
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1407883002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 GOETHALS DR",
            "address_2": "SUITE 300",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523552",
            "telephone_number": "509-943-3196",
            "fax_number": "509-946-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 GOETHALS DR",
            "address_2": "SUITE 300",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523552",
            "telephone_number": "509-943-3196",
            "fax_number": "509-946-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANRAHAN",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "credential": "BSN, MN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005387",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00119966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "CUMMINGS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brooke Handley, DNAP
• Handworks Northwest PLLC
• Hanger Prosthetics & Orthotics West Inc (Hanger Inc)
• Diane Lorraine Hanks, ARNP
• Elhami N Hannan, MD
• Hansen DMD and Hawkins DMD PLLC (Advanced Endocare)
• Hansen Hawkins and Wuerch PLLC (Advanced Endodontic Care)
• Andrew Drury Hansen, PA - C
• Hannah Noel Hansen, MS
• Laura Stjern Hansen, L.M.P. L.A.M.P.

• Family Nurse Practitioner in Richland, WA
• Providers in Richland, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.