Active NPI
Thembalena Hasan
- Nurse's Aide
- Hamilton, OH
National Provider Identifier
1427464643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 5010936106
- Practice address
- 7607 Wildbranch Rd
Hamilton, OH 45011-7780 - Phone
- (513) 714-4466
- NPI assigned
- Jul 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 501093610406 | OH | |
| Nurse's Aide | 376K00000X | 5010936106 | OH | Primary |
Addresses
Primary practice location
7607 Wildbranch Rd
Hamilton, OH 45011-7780
Mailing address
7607 Wildbranch Rd
Hamilton, OH 45011-7780
Phone (513) 714-4466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3101161 | Other | OH | STATE OF OHIO PROVIDER NUMBER |
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 |
|---|---|---|---|
| 501093610406 | OH | MD | Contractor |
| 5010936106 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1427464643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7607 WILDBRANCH RD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450117780",
"telephone_number": "513-714-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7607 WILDBRANCH RD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450117780",
"telephone_number": "513-714-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "THEMBALENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": "501093610406",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "5010936106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OHIO PROVIDER NUMBER",
"identifier": "3101161",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.