Individual provider Active NPI

Rachel Hannon, N.P.

  • Family Nurse Practitioner
  • Valencia, CA
National Provider Identifier
1902285570
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001931 Issued in CA
Practice address
26357 McBean Pkwy
Suite 320
Valencia, CA 91355-4488
Phone
(818) 869-7248
Fax
(818) 869-2709
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 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 95001931 CA Primary

Addresses

Primary practice location

26357 McBean Pkwy
Suite 320
Valencia, CA 91355-4488

Mailing address

PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160107001850 CA Practitioner - Nurse Practitioner 0840592812 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Facey Medical FoundationGroup PAC ID 3173436276, 324 clinicians

Practice addresses (Care Compare)

26357 McBean Pkwy
Suite 320
Valencia, CA 91355-4488
Phone (661) 222-2600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Dixon Family Health Center, Inc CurrentSince Nov 21, 2015 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. CurrentSince Jun 17, 2019 Accepting new patients
Providence Facey Medical Foundation CurrentSince Dec 16, 2019 Accepting new patients
Providence Facey Medical Foundation CurrentSince Dec 16, 2019 Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients

Locations

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

File 50670
Los Angeles, CA 90074

14901 Rinaldi St
Ste 200201
Mission Hills, CA 91345
Phone (818) 365-8553

23772 Newhall Ave
Newhall, CA 91321
Phone (661) 291-1777

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

30257 San Martinez Rd
Val Verde, CA 91384
Phone (661) 257-4008

25115 Avenue Stanford
#A104
Valencia, CA 91355
Phone (661) 257-2339

26357 McBean Pkwy
Valencia, CA 91355
Phone (661) 222-2600

26357 McBean Pkwy
Ste 320
Valencia, CA 91355
Phone (818) 869-7049

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rhannon1179180@oc.providencedirect.org
  • Direct secure messaging: rachel.hannon.p1@direct.lakeside.nextgenshare.com

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1902285570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9602",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913469602",
            "telephone_number": "818-837-5559",
            "fax_number": "818-792-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26357 MCBEAN PKWY",
            "address_2": "SUITE 320",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554488",
            "telephone_number": "818-869-7248",
            "fax_number": "818-869-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.