Shelly Hanko, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Practice address

1 Memorial Dr
Alton, IL 62002-6722

Phone

(618) 463-7299

NPI assigned

Apr 7, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Legacy Heart Care of Grand Prairie, LLC

  dba Flow Therapy Grand Prairie

  • Cardiovascular Disease Physician
  • Grand Prairie, TX
  • NPI 1174252837
  NPD (past)
• Legacy Heart Care of North Dallas, LLC

  dba Flow Therapy North Dallas

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1265150205
  NPD (past)

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740303627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 EVERGREEN CT",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "620101062",
            "telephone_number": "618-377-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026722",
            "telephone_number": "618-463-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKO",
        "first_name": "SHELLY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Hall
• Abigail Hamilton, BSW
• Lindsey Hammond
• Sara Hanahan, DMD
• Rodger Hanko, M.D.
• Lindsay Hansard, MA,LPC
• Katherine Sue Hanser, DMD
• Amy S Hanson, LPC
• Thomas S Hanson, MD
• Jasmine Hardimon

• Family Nurse Practitioner in Alton, IL
• Providers in Alton, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.