Active NPI
Sandra J. Hanlin, ARNP
- Nurse Practitioner
- Louisville, KY
National Provider Identifier
1497826200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3005025
- Practice address
- 9880 Angies Way
Suite 230
Louisville, KY 40241-2851 - Phone
- (502) 629-4263
- Fax
- (502) 629-4282
- NPI assigned
- Nov 13, 2006
- Last updated
- Mar 20, 2019
- 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 | 3005025 | KY | Primary |
| Registered Nurse | 163W00000X | 1057235 | KY |
Addresses
Primary practice location
9880 Angies Way
Suite 230
Louisville, KY 40241-2851
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 969-6552
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000626840 NHC | Other | KY | ANTHEM |
| 4040339 | Other | KY | CIGNA |
| 200965990 | Medicaid | IN | |
| 3736658000 | Other | KY | PASSPORT ADVANTAGE |
| 105938 | Other | KY | SIHO |
| 50025712 | Other | KY | PASSPORT |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1057235 | KY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kleinert Kutz and Associates Hand Care Center | Nurse Practitioner | Past | Accepting new patients |
| Community Medical Associates, Inc. | Nurse Practitioner | Past | Accepting new patients |
| University Surgical Associates, PSC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
Nurse Practitioner
-
- Surgery of the Hand (Surgery) Physician
- Louisville, KY
- NPI 1235123118
Nurse Practitioner
-
- Surgery Physician
- Louisville, KY
- NPI 1609847367
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1497826200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-969-6552",
"fax_number": "502-969-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9880 ANGIES WAY",
"address_2": "SUITE 230",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412851",
"telephone_number": "502-629-4263",
"fax_number": "502-629-4282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLIN",
"first_name": "SANDRA",
"middle_name": "J.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3005025",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1057235",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000626840 NHC",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4040339",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200965990",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "3736658000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO",
"identifier": "105938",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50025712",
"state": "KY"
}
],
"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 Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.