Organization Active NPI

Debra Hanley DPM PA

  • Primary Podiatric Medicine Podiatrist
  • Gainesville, FL
National Provider Identifier
1861673402
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO 2070 Issued in FL
Legal business name
DEBRA HANLEY DPM PA
Practice address
100 SW 75TH St
Ste 205
Gainesville, FL 32607-5779
Phone
(352) 332-8442
Fax
(352) 332-8443
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Beverly Nash, CMA (AAMA)
Title
Office Manager
Phone
(352) 332-8442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X PO 2070 FL Primary

Addresses

Primary practice location

100 SW 75TH St
Ste 205
Gainesville, FL 32607-5779

Mailing address

100 SW 75TH St
Ste 205
Gainesville, FL 32607-5779
Phone (352) 332-8442

Other identifiers 1

IdentifierTypeStateIssuer
340163400MedicaidFL

National Provider Directory

National Provider Directory

Locations

100 SW 75th St
Ste 205
Gainesville, FL 32607
Phone (352) 332-8442

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1861673402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SW 75TH ST",
            "address_2": "STE 205",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075779",
            "telephone_number": "352-332-8442",
            "fax_number": "352-332-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SW 75TH ST",
            "address_2": "STE 205",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075779",
            "telephone_number": "352-332-8442",
            "fax_number": "352-332-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA HANLEY DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-332-8442",
        "authorized_official_credential": "CMA (AAMA)"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO 2070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340163400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.