Active NPI
Hannah Elizabeth Wismer
- Behavior Technician
- Opp, AL
National Provider Identifier
1700457728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 25328 Reaves Rd
Opp, AL 36467-4826 - Phone
- (334) 208-9691
- NPI assigned
- Jul 9, 2021
- Last updated
- Jul 9, 2021
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | AL | Primary |
Addresses
Primary practice location
25328 Reaves Rd
Opp, AL 36467-4826
Mailing address
25328 Reaves Rd
Opp, AL 36467-4826
Phone (334) 208-9691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-1520756 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ababeaconofhope.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1700457728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25328 REAVES RD",
"city": "OPP",
"state": "AL",
"postal_code": "364674826",
"telephone_number": "334-208-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25328 REAVES RD",
"city": "OPP",
"state": "AL",
"postal_code": "364674826",
"telephone_number": "334-208-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISMER",
"first_name": "HANNAH",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83-1520756",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ababeaconofhope.com",
"affiliation": "N",
"address_1": "25328 Reaves Rd",
"city": "Opp",
"state": "AL",
"country_code": "US",
"postal_code": "364674826",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Opp, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.