Makenna Linda Hancock

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

009101 Issued in AZ

Practice address

225 E Main St
Mesa, AZ 85201-7409

Phone

(602) 888-5500

NPI assigned

Dec 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1871205369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 W PALOMINO DR APT 156",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257711",
            "telephone_number": "605-680-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852017409",
            "telephone_number": "602-888-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "MAKENNA",
        "middle_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "AZ",
            "license": "009101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "009101",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC CERTIFICATION",
            "identifier": "2000027411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Louise Hampton, LPC
• Eric Ray Hampton, N.M.D.
• Shaun Hampton, N.P.
• Stephanie Hanchett, CRNA
• Craig Edward Hancock, M.D.
• Stacey Hancock, D.O.
• Hand Therapy Partners LLC
• Hand Therapy Partners LLC
• Hand Therapy Partners, LLC
• Hand Therapy Professionals

• Sports Medicine (Emergency Medicine) Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Sports Medicine (Emergency Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.