Individual provider Active NPI

Kirstyn Shea Hanna, CNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1669844437
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18046-NP Issued in OH
Practice address
8251 Pine Rd
212
Cincinnati, OH 45236-2191
Phone
(513) 841-0222
Fax
(513) 841-0638
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.18046-NP OH Primary

Addresses

Primary practice location

8251 Pine Rd
212
Cincinnati, OH 45236-2191

Mailing address

8251 Pine Rd
212
Cincinnati, OH 45236-2191
Phone (513) 841-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201001640 OH Practitioner - Nurse Practitioner 2668772484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt. Auburn Nephrology Inc.Group PAC ID 6901894229, 13 clinicians

Practice addresses (Care Compare)

8260 Pine Rd
Cincinnati, OH 45236-1900
Phone (513) 841-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.18046-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Auburn Nephrology, Inc. CurrentSince Oct 19, 2015 Accepting new patients

Locations

8260 Pine Rd
Cincinnati, OH 45236

8251 Pine Rd
Ste 212
Cincinnati, OH 45236
Phone 5138410222120

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1669844437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 PINE RD",
            "address_2": "212",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362191",
            "telephone_number": "513-841-0222",
            "fax_number": "513-841-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 PINE RD",
            "address_2": "212",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362191",
            "telephone_number": "513-841-0222",
            "fax_number": "513-841-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "KIRSTYN",
        "middle_name": "SHEA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18046-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.