Active NPI
Kevin Patrick Hanaway, DNP, MBA, APRN
- Primary Care Nurse Practitioner
- Lighthouse Point, FL
National Provider Identifier
1447666086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN3361362
- Practice address
- 3126 N Federal Hwy
Lighthouse Point, FL 33064-6738 - Phone
- (954) 785-0900
- Fax
- (954) 786-3497
- NPI assigned
- Jul 3, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN3361362 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN3361362 | FL | Primary |
Addresses
Primary practice location
3126 N Federal Hwy
Lighthouse Point, FL 33064-6738
Mailing address
15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kevinhanaway@sfa.allscriptsdirect.net |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.18 of 100
- Quality
- 80.32
- Promoting interoperability
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Nurse Practitioner
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1184625733
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- Boca Raton, FL
- NPI 1669442570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1447666086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15280 NW 79TH CT STE 200",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330165873",
"telephone_number": "305-558-3724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3126 N FEDERAL HWY",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330646738",
"telephone_number": "954-785-0900",
"fax_number": "954-786-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANAWAY",
"first_name": "KEVIN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DNP, MBA, APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN3361362",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN3361362",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kevinhanaway@sfa.allscriptsdirect.net",
"affiliation": "N",
"endpointDescription": "Allscripts",
"address_1": "3126 N Federal Hwy",
"city": "Lighthouse Point",
"state": "FL",
"country_code": "US",
"postal_code": "330646738",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lighthouse Point, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.