Active NPI
Hanan Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HANAN HEALTH LLC
- Practice address
- 2042 Wooddale Dr Ste 250-5000
Woodbury, MN 55125-2981 - Phone
- (612) 662-8999
- Fax
- (612) 416-8856
- NPI assigned
- Jun 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Asisat Omotayo Ashagbe, APRN
- Title
- Nurse Practitioner
- Phone
- (240) 593-5653
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2042 Wooddale Dr Ste 250-5000
Woodbury, MN 55125-2981
Mailing address
2042 Wooddale Dr Ste 250-5000
Woodbury, MN 55125-2981
Phone (651) 381-8720
Other practice location 1
860 Blue Gentian Rd Ste 200
Eagan, MN 55121
Phone (651) 381-8720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2042 Wooddale Dr
Ste 2505000
Woodbury, MN 55125
Phone (612) 424-2038
2042 Wooddale Dr
Ste 250
Woodbury, MN 55125
Phone (651) 300-3328
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Woodbury, MN
- NPI 1801343843
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689638400000",
"number": "1801526041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2042 WOODDALE DR STE 250-5000",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252981",
"telephone_number": "651-381-8720",
"fax_number": "612-416-8856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2042 WOODDALE DR STE 250-5000",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252981",
"telephone_number": "612-662-8999",
"fax_number": "612-416-8856"
}
],
"practiceLocations": [
{
"address_1": "860 Blue Gentian Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "55121",
"country_code": "US",
"telephone_number": "651-381-8720",
"fax_number": "612-416-8856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HANAN HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-11",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A",
"authorized_official_last_name": "ASHAGBE",
"authorized_official_first_name": "ASISAT",
"authorized_official_middle_name": "OMOTAYO",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "240-593-5653",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.