Hannah E Banicevich

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

601 Court St Ste 210
Jackson, CA 95642-2163

Phone

(209) 257-1980

Fax

(209) 257-1989

NPI assigned

Jun 17, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1487540233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 COURT ST STE 210",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422163",
            "telephone_number": "209-257-1980",
            "fax_number": "209-257-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COURT ST STE 210",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422163",
            "telephone_number": "209-257-1980",
            "fax_number": "209-257-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANICEVICH",
        "first_name": "HANNAH",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirmanj Tahsin Atrushi, D.P.M.
• Kristine Augello
• Amanda Marie Avila
• Maria Carla Krissel Dela Cruz Badiola, MD
• Jacqueline Baker
• Dennis Basalo, OTR/L
• Ellen Beegel, M.F.T.
• Alan David Belch, PA-C
• Gladys Bell
• Christina Bianchi, PPS - SCHOOL PSYCHOL

• All providers in Jackson, CA
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.