Hanna Blanche Kristin Matoy Banta
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Newark, DE
NPI 1801734173 · NPPES record last updated Mar 24, 2026
Key facts
- NPI
- 1801734173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4755 Ogletown Stanton Rd
Newark, DE 19718-0002 - Phone
- (415) 860-4367
- NPI assigned
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260507001989 | DE | Order and Referring Only - Emergency Medicine |
3779051727 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Newark, DE 19718-0002
Mailing address
4755 Ogletown Stanton Rd
Newark, DE 19718-0002
Phone (302) 733-1000
Other providers in Newark, DE
- Sopagna Banh
- VI Banh
- Kathleen Louise Bankert
- Bernice Lynn Banks
- Tobias Banks
- Barbara Belford, PHD, Inc
- Silvia Barbeito
- Holy Barbieri
- Jennifer Mary Barbieri
- Kalleen S. Barham
All providers in Newark, DE · Student in an Organized Health Care Education/Training Program in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.