Maybelline Maloma Hanson, A-GNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11001250 Issued in FL

Practice address

2450 N Orange Blossom TRL
Kissimmee, FL 34744-2316

Phone

(407) 846-4343

NPI assigned

Aug 9, 2020

Last updated

Oct 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Florida Infectious Disease Consultants P.a

  • Infectious Disease Physician
  • Kissimmee, FL
  • NPI 1952410573
  NPD (past)

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1518577006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 CLEAR BROOK PL",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347726537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 N ORANGE BLOSSOM TRL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442316",
            "telephone_number": "407-846-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MAYBELLINE",
        "middle_name": "MALOMA",
        "name_prefix": "Mrs.",
        "credential": "A-GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11001250",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001250",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9251665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afshaun Gibraun Haniff, PHARMD
• Nadia Hankerson, BS, MSN, RN, AGNP-C
• Damaris Hanley
• Scott R Hannum, DO
• Bashar Hanooshi, M.D.
• Happy Healing Growing Process, E.T.C., LLC
• Happy Kiddos Behavioral Services Corp.
• Happy Kiddos Behavioral Services Corp.
• Happy Living LLC
• Happy Living of Florida LLC.

• Nurse Practitioner in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.