Muriel Hanna

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906492 Issued in FL

Practice address

111 Lake Davenport Estates Dr
Davenport, FL 33897-8553

Phone

(407) 451-0171

NPI assigned

Oct 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1699102491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 AMBERSWEET WAY",
            "address_2": "#157",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338978418",
            "telephone_number": "407-451-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LAKE DAVENPORT ESTATES DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338978553",
            "telephone_number": "407-451-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MURIEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1426125",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry A Haag, DO
• Tamara Whiteman Haberman, LCSW
• Haines City Hma LLC
• Haines City Hma Physician Management, LLC
• Oliver F Hamilton Jr., M.D.
• Shelly Hanson, MS, RD, LDN
• Andrew J Hanzlik, MD PA
• Upendra Paul Harinarine, PA C
• Anna Michelle Harris, D.O.
• Annette Kay Harris, RN

• Adult Care Home Facility in Davenport, FL
• Providers in Davenport, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.