Individual provider Active NPI

Hanna Rose Delancy, CPC

  • Peer Specialist
  • Chehalis, WA
National Provider Identifier
1568026722
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CG60948084 Issued in WA
Practice address
151 N Market Blvd Ste C
Chehalis, WA 98532-2677
Phone
(360) 948-0203
Fax
(360) 262-6703
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CG60948084 WA Primary

Addresses

Primary practice location

151 N Market Blvd Ste C
Chehalis, WA 98532-2677

Mailing address

2277 SW Salsbury Ave Unit 47
Chehalis, WA 98532-4408
Phone (360) 388-1753

Other identifiers 1

IdentifierTypeStateIssuer
1376696096MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hanna.delancy@eugeniacenter.org

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

LicenseStateTypeSpecialty
CG60948084WAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eugenia Center PastSince Jul 17, 2022 Accepting new patients

Organizations & group practices 1

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1568026722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 SW SALSBURY AVE UNIT 47",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985324408",
            "telephone_number": "360-388-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N MARKET BLVD STE C",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322677",
            "telephone_number": "360-948-0203",
            "fax_number": "360-262-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANCY",
        "first_name": "HANNA",
        "middle_name": "ROSE",
        "credential": "CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG60948084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376696096",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hanna.delancy@eugeniacenter.org",
            "affiliation": "N",
            "address_1": "151 N Market Blvd Ste C",
            "city": "Chehalis",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985322677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.