Active NPI
Debra Hanley DPM PA
- Primary Podiatric Medicine Podiatrist
- Gainesville, FL
National Provider Identifier
1861673402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- PO 2070
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340163400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.