Active NPI
Trenae Hanaya, R.N.
- Registered Nurse
- Santa Rosa, CA
National Provider Identifier
1639558174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 753133
- Practice address
- 144 Stony Point Rd
Santa Rosa, CA 95401-4122 - Phone
- (707) 521-4524
- Fax
- (707) 676-9204
- NPI assigned
- May 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 753133 | CA | Primary |
| Clinic/Center | 261Q00000X | 753133 | CA |
Addresses
Primary practice location
144 Stony Point Rd
Santa Rosa, CA 95401-4122
Mailing address
144 Stony Point Rd
Santa Rosa, CA 95401-4122
Phone (707) 521-4524
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 753133 | CA | MD | Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1639558174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 STONY POINT RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014122",
"telephone_number": "707-521-4524",
"fax_number": "707-676-9204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 STONY POINT RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014122",
"telephone_number": "707-521-4524",
"fax_number": "707-676-9204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANAYA",
"first_name": "TRENAE",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "753133",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "753133",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.