Active NPI
Hanan Wasse
- Occupational Therapist
- Menlo Park, CA
National Provider Identifier
1528673399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 20257
- Practice address
- 860 Fremont # Apt 2
Menlo Park, CA 94025 - Phone
- (202) 538-0153
- NPI assigned
- Sep 9, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 117700 | TX | |
| Occupational Therapist | 225X00000X | 20257 | CA | Primary |
Addresses
Primary practice location
860 Fremont # Apt 2
Menlo Park, CA 94025
Mailing address
860 Fremont # Apt 2
Menlo Park, CA 94025
Phone (202) 538-0153
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 |
|---|---|---|---|
| 20257 | CA | MD | Occupational Therapist |
| 117700 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1528673399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 FREMONT # APT 2",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "94025",
"telephone_number": "202-538-0153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 FREMONT # APT 2",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "94025",
"telephone_number": "202-538-0153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSE",
"first_name": "HANAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-09",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "117700",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "20257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.