Individual provider Active NPI

Maeve Hennessy

  • General Acute Care Hospital
  • Stanford, CA
National Provider Identifier
1568759678
Registry record updated Jul 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
A52099 Issued in CA
Practice address
300 Pasteur Dr
Dept Anesthesia Stanford University Medical Centre
Stanford, CA 94305-2200
Phone
(650) 723-6415
NPI assigned
Jul 10, 2011
Last updated
Jul 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X A52099 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Dept Anesthesia Stanford University Medical Centre
Stanford, CA 94305-2200

Mailing address

2447 Vallejo St
#5
San Francisco, CA 94123-4668

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A52099CAMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Hospital and Clinics Past Accepting new patients
LPCH Medical Group Div of Lucile Past Accepting new patients
Stanford Health Care General Acute Care Hospital Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1310256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310256000000",
    "number": "1568759678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 VALLEJO ST",
            "address_2": "#5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "DEPT ANESTHESIA STANFORD UNIVERSITY MEDICAL CENTRE",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "MAEVE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-10",
        "last_updated": "2011-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A52099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2011; 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.