Individual provider Active NPI

Hannah Labouliere, PA-C

  • Physician Assistant
  • Levittown, PA
National Provider Identifier
1952133340
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA006970 Issued in PA
Practice address
2346 Trenton Rd Ste C
Levittown, PA 19056-1445
Phone
(215) 945-1800
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X
Physician Assistant 363A00000X OA006970 PA Primary

Addresses

Primary practice location

2346 Trenton Rd Ste C
Levittown, PA 19056-1445

Mailing address

10 Marian Cir
Chalfont, PA 18914-2700
Phone (215) 692-0168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240916003952 PA Practitioner - Physician Assistant 1052852134

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bucks Family Medicine PCGroup PAC ID 7012996655, 7 clinicians

Practice addresses (Care Compare)

2346 Trenton Rd
Levittown, PA 19056-1423

2346 Trenton Rd C
Levittown, PA 19056-1423

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA006970PAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: hannahl@bucksfamilymedicine.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1952133340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARIAN CIR",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189142700",
            "telephone_number": "215-692-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 TRENTON RD STE C",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190561445",
            "telephone_number": "215-945-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOULIERE",
        "first_name": "HANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.