Active NPI
Diana Hanan, CNP
- Nurse Practitioner
- West Springfield, MA
National Provider Identifier
1700332160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2275036
- Practice address
- 103 Myron St
Suite a
West Springfield, MA 01089-1598 - Phone
- (413) 592-1980
- Fax
- (413) 439-0100
- NPI assigned
- Aug 26, 2016
- Last updated
- Aug 26, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2275036 | MA | Primary |
Addresses
Primary practice location
103 Myron St
Suite a
West Springfield, MA 01089-1598
Mailing address
103 Myron St
Suite a
West Springfield, MA 01089-1598
Phone (413) 592-1980
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
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2275036 | MA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1700332160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 MYRON ST",
"address_2": "SUITE A",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891598",
"telephone_number": "413-592-1980",
"fax_number": "413-439-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MYRON ST",
"address_2": "SUITE A",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891598",
"telephone_number": "413-592-1980",
"fax_number": "413-439-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANAN",
"first_name": "DIANA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2275036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.