Individual provider Active NPI

Karen E. Hannum, R.N., C.N.P.

  • Family Nurse Practitioner
  • Coshocton, OH
National Provider Identifier
1811276058
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA12488NP Issued in OH
Practice address
1460 Orange St
Coshocton, OH 43812-2229
Phone
(740) 623-6411
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA12488NP OH Primary

Addresses

Primary practice location

1460 Orange St
Coshocton, OH 43812-2229

Mailing address

1460 Orange St
Coshocton, OH 43812-2229
Phone (740) 623-6411

Other identifiers 1

IdentifierTypeStateIssuer
0064587MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120503000333 OH Practitioner - Nurse Practitioner 0143482471 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
COA12488NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc CurrentSince Mar 1, 2020 Accepting new patients
Hles of Ohio Inc CurrentSince Feb 5, 2018 Accepting new patients
Ohio Valley Physicians Inc Family CurrentSince Mar 1, 2020 Accepting new patients
Hles of Ohio, Inc. Current Accepting new patients
Hles of Ohio Inc CurrentSince Feb 5, 2018 Accepting new patients

Locations

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1811276058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 ORANGE ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122229",
            "telephone_number": "740-623-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 ORANGE ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122229",
            "telephone_number": "740-623-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNUM",
        "first_name": "KAREN",
        "middle_name": "E.",
        "credential": "R.N., C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA12488NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064587",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

Verify at the official NPI Registry.