Active NPI
Wasima Hassan, MD
- Family Medicine Physician
- Lafayette, IN
National Provider Identifier
1639256191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01043947
- Practice address
- 3750 Landmark Dr
Suite a
Lafayette, IN 47905-6633 - Phone
- (765) 448-4511
- Fax
- (765) 447-8375
- NPI assigned
- Nov 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01043947 | IN | Primary |
Addresses
Primary practice location
3750 Landmark Dr
Suite a
Lafayette, IN 47905-6633
Mailing address
3750 Landmark Dr
Suite a
Lafayette, IN 47905-6633
Phone (765) 448-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200058310 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wasima.hassanmd.p8@direct.ahni.nextgenshare.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01043947 | IN | MD | Family Medicine Physician |
Interoperability endpoints
- wasima.hassan.1@14940.direct.athenahealth.com
- wasima.hassanmd.p8@direct.ahni.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616284800000",
"number": "1639256191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 LANDMARK DR",
"address_2": "SUITE A",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479056633",
"telephone_number": "765-448-4511",
"fax_number": "765-447-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 LANDMARK DR",
"address_2": "SUITE A",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479056633",
"telephone_number": "765-448-4511",
"fax_number": "765-447-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "WASIMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2021-03-21",
"certification_date": "2021-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01043947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200058310",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wasima.hassanmd.p8@direct.ahni.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "3750 Landmark Dr",
"address_2": "Suite A",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479056633",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.