Nancy Hart, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9112617 Issued in FL

Practice address

2328 Sadler Rd Apt 7F
Fernandina Beach, FL 32034-4553

Phone

(518) 852-1152

NPI assigned

Jul 24, 2016

Last updated

Feb 5, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1619420866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 SADLER RD APT 7F",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344553",
            "telephone_number": "518-852-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 SADLER RD APT 7F",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344553",
            "telephone_number": "518-852-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "NANCY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-24",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112617",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Harrelson-Lee, DC
• Harris Teeter LLC (Harris Teeter #34)
• Kimberly Brooke Harris, OTR/L
• Megan Harris, PA-C
• Ruth Phillips Harrison, MS OTR/L
• Lester N Hauge, M.D.
• Emilie M Henderson, CRNA
• Adrienne P Henn
• Summer Herd, NBC-HWC
• Darianny Hernandez

• Physician Assistant in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.