Active NPI
Hannah Hollenbach
- Physician Assistant
- Louisville, KY
National Provider Identifier
1427635507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2810
- Practice address
- 2400 Eastpoint Pkwy Ste 530
Louisville, KY 40223-4154 - Phone
- (502) 409-6898
- NPI assigned
- Mar 25, 2021
- Last updated
- Sep 22, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2810 | KY | Primary |
| Physician Assistant | 363A00000X | TC067 | KY |
Addresses
Primary practice location
2400 Eastpoint Pkwy Ste 530
Louisville, KY 40223-4154
Mailing address
2400 Eastpoint Pkwy Ste 530
Louisville, KY 40223-4154
Phone (502) 409-6898
Other practice location 1
522 Morningside Dr
Louisville, KY 40206-3028
Phone (502) 821-4070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Kentucky College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Eastpoint Pkwy
Suite 530
Louisville, KY 40223-4154
Phone (502) 409-6898
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC067 | KY | MD | Physician Assistant |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CIGJCA
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1427635507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 EASTPOINT PKWY STE 530",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234154",
"telephone_number": "502-409-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 EASTPOINT PKWY STE 530",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234154",
"telephone_number": "502-409-6898"
}
],
"practiceLocations": [
{
"address_1": "522 Morningside Dr",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402063028",
"country_code": "US",
"telephone_number": "502-821-4070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLENBACH",
"first_name": "HANNAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA2810",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC067",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.