HAILEY S HANNON (NPI# 1568941169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568941169 |
| Entity Type | Individual |
| Full Name | HAILEY S HANNON |
| Credential | NP |
| Practice Address |
964 Mezzanine Dr Lafayette IN 47905-8631 |
| Mailing Address |
200 S Meridian St Indianapolis IN 46225-1055 |
| Practice Telephone | 8002307526 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
71008366A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3403 E Raymond St, Indianapolis, IN 462034744 | 3179572100 |
| Street Address |
964 MEZZANINE DR |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-8631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679761761 | Grace Ihsiu Todd | Nurse Practitioner | 964 Mezzanine Dr, Planned Parenthood of Indiana and Kentucky, Lafayette, IN 47905-8631 | 2007-10-15 |
| 1417449240 | Jessica Florence Purcell | Registered Nurse | 964 Mezzanine Dr, Lafayette, IN 47905 | 2018-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225361827 | Paulette Guidry Landry | Nurse Practitioner | U L Lafayette Student Health, 120 Boucher Dr., Lafayette, LA 70504-0001 | 2009-09-14 |
| 1467695700 | Heather M Lenox | Nurse Practitioner | 4540 Amb Caffery Pkwy, Ste C 220, Lafayette, LA 70508-6928 | 2009-04-16 |
| 1376741462 | Dianne Freeman-moore | Nurse Practitioner | 819 Woodmere Dr, Lafayette, IN 47905-5604 | 2007-07-10 |
| 1861554115 | Trent Fogleman, M.d., LLC | Nurse Practitioner | 1817 Bertrand Dr., Suite D, Lafayette, LA 70506 | 2006-12-14 |
| 1013470004 | Fallon Savoy Guidry | Nurse Practitioner | 4630 Ambassador Caffery Pkwy, Ste 204, Lafayette, LA 70508 | 2019-04-08 |
| 1154880128 | Sabrina Darbonne | Nurse Practitioner | 105 Corporate Blvd, Lafayette, LA 70508-3850 | 2019-03-18 |
| 1821538174 | Lauren Elizabeth Hammer | Nurse Practitioner | 300 Exempla Cir, Suite 470, Lafayette, CO 80026-3397 | 2017-03-06 |
| 1689022139 | Janis Lee Lydick | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 | 2016-05-25 |
| 1942663885 | Aundria Hebert Cannon | Nurse Practitioner | 435 Heymann Blvd, Lafayette, LA 70503-2616 | 2016-03-29 |
| 1700214525 | Ebony Smith | Nurse Practitioner | 500 Patterson St, Lafayette, LA 70501-1849 | 2013-10-15 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on HAILEY S HANNON.
| 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.