Active NPI
Terri M Hannon, APN-C
- Nurse Practitioner
- Naperville, IL
National Provider Identifier
1497965487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Practice address
- 1012 95TH St
Naperville, IL 60564-5041 - Phone
- (630) 548-1100
- NPI assigned
- May 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | IL | Primary |
Addresses
Primary practice location
1012 95TH St
Naperville, IL 60564-5041
Mailing address
512 E Taylor Rd
Lombard, IL 60148-3533
Phone (630) 424-0677
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-001892 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497965487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 E TAYLOR RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601483533",
"telephone_number": "630-424-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 95TH ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605645041",
"telephone_number": "630-548-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNON",
"first_name": "TERRI",
"middle_name": "M",
"credential": "APN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.