BREANNA L HANNA (NPI# 1578029641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578029641 |
| Entity Type | Individual |
| Full Name | BREANNA L HANNA |
| Credential | PA |
| Practice Address |
801 Medical Dr Ste A Lima OH 45804-4030 |
| Practice Telephone | 4192226622 |
| Practice Fax Number | 4192240015 |
| Mailing Telephone | 4192226622 |
| Mailing Fax Number | 4192240015 |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50.005874RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
801 MEDICAL DR STE A |
| City | LIMA |
| State | OH |
| Zip Code | 45804-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902899594 | Andrew E Layne | Orthopaedic Surgery | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2005-08-30 |
| 1447858972 | Melissa M Kloeppel | Nurse Practitioner | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2020-10-16 |
| 1003446170 | Logan Michael Rieman | Nurse Practitioner | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2020-01-17 |
| 1689216939 | James Westley Carlier | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2019-10-08 |
| 1679040943 | Jered Hill | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-10-25 |
| 1679054464 | Staci Leigh Clutter | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-08-28 |
| 1063905560 | Brooke M Scollin | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-06-08 |
| 1467943993 | Tabatha Ann Perreault | Nurse Practitioner | 801 Medical Dr Ste A, Lima, OH 45804 | 2018-05-21 |
| 1013424597 | Kyle T Shroll | Physical Therapist | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-01-05 |
| 1548789837 | Alec Winchester Curry | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2017-09-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639168891 | Michael Otto | Physician Assistant | 730 W Market St Ste 2k, Lima, OH 45801-4602 | 2005-10-19 |
| 1619974730 | Faye Michelle Imm | Physician Assistant | 801 Medical Dr, Suite A, Lima, OH 45804-4099 | 2005-07-05 |
| 1386259893 | Krista E Burrows | Physician Assistant | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2020-09-11 |
| 1689216939 | James Westley Carlier | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2019-10-08 |
| 1689238669 | Megan A Kaufman | Physician Assistant | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2019-04-25 |
| 1457819450 | Lima Memorial Professional Corporation | Physician Assistant | 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-2868 | 2019-03-08 |
| 1679040943 | Jered Hill | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-10-25 |
| 1528568797 | Ashley M Poeppelman | Physician Assistant | 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 | 2018-02-14 |
| 1548789837 | Alec Winchester Curry | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2017-09-18 |
| 1700301660 | Jewel Songo | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2017-08-11 |
| Find all providers in LIMA | ||||
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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.