Individual provider Active NPI

Hannah Henry, CNP

  • Pediatrics Physician
  • Perrysburg, OH
National Provider Identifier
1720623630
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
APRN.CNP.025133 Issued in OH
Practice address
25950 Dixie Hwy Ste 400
Perrysburg, OH 43551-2983
Phone
(567) 585-0010
NPI assigned
Nov 14, 2019
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X APRN.CNP.025133 OH Primary

Addresses

Primary practice location

25950 Dixie Hwy Ste 400
Perrysburg, OH 43551-2983

Mailing address

25950 Dixie Hwy Ste 400
Perrysburg, OH 43551-2983

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hduffy51956@epicdirect.promedica.org

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
I20200115003395 OH Practitioner - Nurse Practitioner 4587099759 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025133OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Dec 1, 2019 Accepting new patients
The Toledo Hospital Pediatrics CurrentSince Jan 27, 2024 Accepting new patients
Promedica Central Physicians CurrentSince Dec 1, 2019 Accepting new patients
The Toledo Hospital CurrentSince Jan 27, 2024 Accepting new patients

Locations

25950 Dixie Hwy
Perrysburg, OH 43551
Phone (567) 585-0010

25950 Dixie Hwy
Ste 400
Perrysburg, OH 43551
Phone (567) 585-0010

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2150 W Central Ave
Toledo, OH 43606
Phone (419) 291-2200

Interoperability endpoints

  • Direct secure messaging: hhenry51956@direct.promedica.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1720623630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25950 DIXIE HWY STE 400",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25950 DIXIE HWY STE 400",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512983",
            "telephone_number": "567-585-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "HANNAH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.025133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hduffy51956@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.