Individual provider Active NPI

Hanaa Hamoud, CNA

  • Nurse's Aide
  • Mokena, IL
National Provider Identifier
1760987812
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Practice address
19849 Green Meadows Pkwy
Mokena, IL 60448-3306
Phone
(708) 829-3458
NPI assigned
Mar 29, 2018
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X IL Primary

Addresses

Primary practice location

19849 Green Meadows Pkwy
Mokena, IL 60448-3306

Mailing address

17045 Sterling Dr
Lockport, IL 60441-3666
Phone (708) 829-3458

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1760987812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17045 STERLING DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413666",
            "telephone_number": "708-829-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19849 GREEN MEADOWS PKWY",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604483306",
            "telephone_number": "708-829-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMOUD",
        "first_name": "HANAA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.