MRS. TINA GAYLE HANNER (NPI# 1194151423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194151423 |
| Entity Type | Individual |
| Full Name | MRS. TINA GAYLE HANNER |
| Credential | FNP-C |
| Practice Address |
719 W Coke Rd Bldg. 4, Ste 6 Winnsboro TX 75494-3011 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9033423760 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2017-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
661717 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 328273301 | 05 | |
| TX | BCBS | 8638MC | 01 |
| TX | RAIL ROAD MEDICARE | P01812452 | 01 |
| TX | RAIL ROAD | P01280555 | 01 |
| TX | TRICARE | 75-2616977-066 | 01 |
| TX | TRICARE | 75-2771569-005 | 01 |
| TX | 328273302 | 05 | |
| TX | TRICARE | 75-2616977-043 | 01 |
| TX | BCBS | 8583ND | 01 |
| Street Address |
719 W COKE RD BLDG. 4, STE 6 |
| City | WINNSBORO |
| State | TX |
| Zip Code | 75494-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741575 | John Roberts Blackburn | Urology | 719 W Coke Rd, Ste 2, Winnsboro, TX 75494-3060 | 2005-06-22 |
| 1598300147 | Kim Utley | Physical Therapy Assistant | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2019-11-07 |
| 1477027142 | Kandice Hand | Physical Therapy Assistant | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2019-01-16 |
| 1033626643 | Ashley Elizabeth Hammons | Nurse Practitioner | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2018-01-04 |
| 1912386467 | Timothy Lyons | Physical Therapist | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2015-05-28 |
| 1326434507 | Dr. Bart Pruitt, Pllc | Clinic/Center | 719 W Coke Rd, Mob 2, Winnsboro, TX 75494-3060 | 2015-04-14 |
| 1700282357 | Rocky Mountain Holdings, LLC | Ambulance | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2014-11-10 |
| 1750797536 | June E Beamer Md Pllc | Dermatology | 719 W Coke Rd, Bldg 3, Suite 3, Winnsboro, TX 75494-3011 | 2014-07-01 |
| 1134539034 | Roxanne Swafford | Nurse Practitioner | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2014-04-30 |
| 1205273802 | Joseph Richard Pelli Jr. | Emergency Medicine | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2013-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003392317 | Cordelia Carrington Lovett | Physical Therapist | Rehab Solutions, 406 S Main Street, Winnsboro, TX 75494 | 2018-07-19 |
| 1679972483 | Whispering Pines Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 910 S Beech Street, Winnsboro, TX 75494 | 2014-08-18 |
| 1023438330 | Trinity Nursing and Rehabilitation of Winnsboro, Lp | Skilled Nursing Facility | 502 East Coke Road, Winnsboro, TX 75494 | 2014-04-25 |
| 1467776831 | Autumn Wind | Assisted Living Facility | 1004 E. Coke Rd, Winnsboro, TX 75494 | 2010-03-15 |
| 1427117357 | Henry Frank Cannaday | Dentist | 505 South Mill Street, Winnsboro, TX 75494 | 2006-12-06 |
| 1952486102 | Jerry D Houchin | Internal Medicine | 877 Sw County Rd 3250, Winnsboro, TX 75494 | 2006-10-26 |
| 1871678425 | Lila G Sparkman | Counselor | 101 North Main St Suite 209, Winnsboro, TX 75494 | 2006-10-25 |
| 1801811534 | Theodore Knox Gregory II | Nurse Anesthetist, Certified Registered | 719 W Coke Road, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 | 2006-07-13 |
| 1124013644 | Kathy G. Smedley | Counselor | 403 N Post Oak, Winnsboro, TX 75494 | 2005-09-12 |
| 1861493694 | Justin Clive Perish | Chiropractor | 821 South Main Street, Suite 100, Winnsboro, TX 75494 | 2005-08-02 |
| Find all providers in zip 75494 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358228 | Priscilla Brooke Mullican | Nurse Practitioner | 3326 Front St Ste C, Winnsboro, LA 71295-6418 | 2019-10-21 |
| 1730619529 | Shelby Smotherman Vascocu | Nurse Practitioner | 101 Fair Ave, Winnsboro, LA 71295-2117 | 2017-06-14 |
| 1972907160 | Lynzie Nicole Henry | Nurse Practitioner | 719 W Coke Rd # Mob2, Winnsboro, TX 75494-3011 | 2014-10-16 |
| 1316378805 | Stephanie Greer Johnson | Nurse Practitioner | 2104 Loop Road Ste C, Franklin Medical Rural Health, Winnsboro, LA 71295 | 2013-12-09 |
| 1023444551 | Kristal Lare Spencer | Nurse Practitioner | 719 W Coke Rd Ste 6, Winnsboro, TX 75494-3060 | 2013-09-16 |
| 1902991326 | Tanya R Cobb | Nurse Practitioner | 2106 A Loop Road, Winnsboro, LA 71295 | 2006-10-03 |
| 1043318991 | Kimberly R Fannin - Trisler | Nurse Practitioner | 2106 Loop Rd # C, Winnsboro, LA 71295-3344 | 2006-09-21 |
| 1053922674 | Samantha J Wood | Nurse Practitioner | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2020-08-17 |
| 1699391623 | Rang Kim | Nurse Practitioner | 3326 Front St, Winnsboro, LA 71295-6406 | 2020-06-25 |
| 1396369815 | Leslie Madden | Nurse Practitioner | 5745 Highway 17, Winnsboro, LA 71295-5688 | 2020-06-01 |
| Find all providers in WINNSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.