Individual provider Active NPI

Hannah Moore Howell, APRN

  • Family Nurse Practitioner
  • Aubum, AL
National Provider Identifier
1417673138
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020480 Issued in FL
Practice address
710 S Donahue Dr.
Aubum, AL 36849
Phone
(334) 844-6769
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11020480 FL Primary

Addresses

Primary practice location

710 S Donahue Dr.
Aubum, AL 36849

Mailing address

710 S Donahue Dr.
Aubum, AL 36849
Phone (334) 844-6769

Other names 1

  • Ms. Hannah Kendall Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20241022005488 FL Practitioner - Nurse Practitioner 2062945579 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11020480FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Aug 12, 2024 Accepting new patients
Florida Department of Health CurrentSince Aug 12, 2024 Accepting new patients
Florida Department of Health CurrentSince Aug 12, 2024 Accepting new patients

Locations

19611 State Road 20 W
Blountstown, FL 32424
Phone (850) 674-5645

10971 NW Spring St
Bristol, FL 32321
Phone (850) 643-2292

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1417673138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S DONAHUE DR.",
            "city": "AUBUM",
            "state": "AL",
            "postal_code": "36849",
            "telephone_number": "334-844-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S DONAHUE DR.",
            "city": "AUBUM",
            "state": "AL",
            "postal_code": "36849",
            "telephone_number": "334-844-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "HANNAH",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "MOORE",
            "middle_name": "KENDALL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.