Individual provider Active NPI

Alessandra Hanly, HAD

  • Hearing Instrument Specialist
  • Canon City, CO
National Provider Identifier
1578227898
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
444 Issued in CO
Practice address
115 N 8TH St
Canon City, CO 81212-3307
Phone
(719) 275-3968
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X HAD.0000444 CO
Hearing Instrument Specialist 237700000X 444 CO Primary

Addresses

Primary practice location

115 N 8TH St
Canon City, CO 81212-3307

Mailing address

PO Box 49132
Colorado Springs, CO 80949-9132

Other practice location 1

1396 S 21st St
Colorado Springs, CO 80904-4261
Phone (719) 520-3311

Other identifiers 1

IdentifierTypeStateIssuer
HAD.0000444OtherCOSTATE LICENSE

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
444COMDAddiction (Substance Use Disorder) Counselor
HAD.0000444COMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1578227898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49132",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809499132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N 8TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123307",
            "telephone_number": "719-275-3968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1396 S 21st St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809044261",
            "country_code": "US",
            "telephone_number": "719-520-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANLY",
        "first_name": "ALESSANDRA",
        "name_prefix": "Miss",
        "credential": "HAD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CO",
            "license": "HAD.0000444",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CO",
            "license": "444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "HAD.0000444",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.