Individual provider Active NPI

Rebecca Keala-Ka'a Hanrahan, LPN

  • Licensed Practical Nurse
  • Temple, TX
National Provider Identifier
1912528795
Registry record updated May 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
27068224A Issued in IN
Practice address
990 Marlandwood Rd
Temple, TX 76502-3365
Phone
(317) 979-5480
NPI assigned
May 2, 2020
Last updated
May 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 27068224A IN Primary

Addresses

Primary practice location

990 Marlandwood Rd
Temple, TX 76502-3365

Mailing address

1119 Kiskadee Branch Dr
Temple, TX 76502-2174
Phone (317) 979-5480

Other practice location 1

1119 Kiskadee Branch Dr
Temple, TX 76502-2174
Phone (317) 979-5480

Other names 1

  • Rebecca Keala-Ka'a Gomes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27068224AINMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588377600000",
    "number": "1912528795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 KISKADEE BRANCH DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022174",
            "telephone_number": "317-979-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MARLANDWOOD RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023365",
            "telephone_number": "317-979-5480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1119 Kiskadee Branch Dr",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765022174",
            "country_code": "US",
            "telephone_number": "317-979-5480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANRAHAN",
        "first_name": "REBECCA",
        "middle_name": "KEALA-KA'A",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-02",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27068224A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GOMES",
            "middle_name": "KEALA-KA'A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2020; 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.