Individual provider Active NPI

Hanna Dua Banaag-Fabella, RN

  • Registered Nurse
  • Marysville, WA
National Provider Identifier
1801636816
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.61481674 Issued in WA
Practice address
1821 Grove St
Marysville, WA 98270-4329
Phone
(360) 659-3926
Fax
(360) 659-1626
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN.61481674 WA
Registered Nurse 163W00000X RN.61481674 WA Primary

Addresses

Primary practice location

1821 Grove St
Marysville, WA 98270-4329

Mailing address

1821 Grove St
Marysville, WA 98270-4329
Phone (360) 659-3926

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.61481674WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1801636816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 GROVE ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704329",
            "telephone_number": "360-659-3926",
            "fax_number": "360-659-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 GROVE ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704329",
            "telephone_number": "360-659-3926",
            "fax_number": "360-659-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAAG-FABELLA",
        "first_name": "HANNA",
        "middle_name": "DUA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "RN.61481674",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN.61481674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; 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.