Active NPI
Joanna Hahn
- Family Nurse Practitioner
- Concord, CA
National Provider Identifier
1669920815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9274113
- Practice address
- 2280 Diamond Blvd Ste 520
Concord, CA 94520-5719 - Phone
- (925) 682-1951
- NPI assigned
- Sep 16, 2016
- 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 Nurse Practitioner | 363LF0000X | 9274113 | FL | Primary |
Addresses
Primary practice location
2280 Diamond Blvd Ste 520
Concord, CA 94520-5719
Mailing address
1924 Shasta LN
Hercules, CA 94547-2756
Phone (732) 421-4020
Other practice location 1
5757 Plaza Dr
Cypress, CA 90630-5000
Phone (888) 445-8745
Other practice location 2
7500 4th St N
St Petersburg, FL 33702-5400
Phone (727) 526-4122
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Joanna.Hahn@optum.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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9274113 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1669920815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 SHASTA LN",
"city": "HERCULES",
"state": "CA",
"postal_code": "945472756",
"telephone_number": "732-421-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 DIAMOND BLVD STE 520",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205719",
"telephone_number": "925-682-1951"
}
],
"practiceLocations": [
{
"address_1": "5757 Plaza Dr",
"address_purpose": "LOCATION",
"city": "Cypress",
"state": "CA",
"postal_code": "906305000",
"country_code": "US",
"telephone_number": "888-445-8745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7500 4th St N",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337025400",
"country_code": "US",
"telephone_number": "727-526-4122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAHN",
"first_name": "JOANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-16",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9274113",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Joanna.Hahn@optum.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "5757 Plaza Dr",
"city": "Cypress",
"state": "CA",
"country_code": "US",
"postal_code": "906305000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.