Frederick George Hannie Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1672 Issued in LA

Practice address

2301 E Prien Lake Rd
Lake Charles, LA 70601-7976

Phone

(337) 477-0600

Fax

(337) 474-4935

NPI assigned

Jul 18, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Full of Grace Therapy LLC

  • Occupational Therapist
  • Lake Charles, LA
  • NPI 1720702236
  NPD

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1851733893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E PRIEN LAKE RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017976",
            "telephone_number": "337-477-0600",
            "fax_number": "337-474-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E PRIEN LAKE RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017976",
            "telephone_number": "337-477-0600",
            "fax_number": "337-474-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNIE",
        "first_name": "FREDERICK",
        "middle_name": "GEORGE",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Couch Hankins, NP
• Martha Yvonne Hankins, R. PH.
• Katherine Hanks, FNP
• Kristen Hebert Hannaman, PA
• Scott Martin Hannaman, D.D.S.
• Charles William Hansen, MD
• Colinda Hantz, HIS
• Marcy L. Hanudel, MD
• Harbor Hospice of Lake Charles, LP
• Bambi Loretta Hardesty, CIT

• All providers in Lake Charles, LA
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.