Individual provider Active NPI

Gloria C Hakkarainen, M.D.

  • Obstetrics & Gynecology Physician
  • Lake Worth, FL
National Provider Identifier
1497868418
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME73073 Issued in FL
Practice address
4671 S Congress Ave
Suite 100 B
Lake Worth, FL 33461-4783
Phone
(561) 434-0111
Fax
(561) 296-3533
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME73073 FL Primary

Addresses

Primary practice location

4671 S Congress Ave
Suite 100 B
Lake Worth, FL 33461-4783

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333

Other identifiers 2

IdentifierTypeStateIssuer
256189100MedicaidFL
LN381OtherFLMEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090522000091 FL Practitioner - Obstetrics/Gynecology 1951450972 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Aug 19, 2019 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Aug 19, 2019 Accepting new patients

Locations

4671 S Congress Ave
Ste 100B
Palm Springs, FL 33461
Phone (561) 434-0111

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Interoperability endpoints

  • Direct secure messaging: gloria.hakkarainen@wcfnf.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1497868418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0333",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4671 S CONGRESS AVE",
            "address_2": "SUITE 100 B",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614783",
            "telephone_number": "561-434-0111",
            "fax_number": "561-296-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKKARAINEN",
        "first_name": "GLORIA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME73073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256189100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LN381",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.