Active NPI
Deborah A Hanes, C.N.P.
- Adult Health Nurse Practitioner
- Columbus, OH
National Provider Identifier
1447213426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- COA.06197.NP
- Practice address
- 2050 Kenny Rd
Columbus, OH 43221-3502 - Phone
- (614) 293-8054
- Fax
- (614) 293-4890
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN234429 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | COA.06197.NP | OH | Primary |
Addresses
Primary practice location
2050 Kenny Rd
Columbus, OH 43221-3502
Mailing address
2050 Kenny Rd
Columbus, OH 43221-3502
Phone (614) 293-8054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2467692 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.06197.NP | OH | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434758400000",
"number": "1447213426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 KENNY RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432213502",
"telephone_number": "614-293-8054",
"fax_number": "614-293-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 KENNY RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432213502",
"telephone_number": "614-293-8054",
"fax_number": "614-293-4890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANES",
"first_name": "DEBORAH",
"middle_name": "A",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2015-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "RN234429",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "COA.06197.NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2467692",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.