MRS. TINA GAYLE HANNER FNP-C NPI 1194151423

NPI Information

NPI: 1194151423
Provider Name: MRS. TINA GAYLE HANNER, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
719 W COKE RD
BLDG. 4, STE 6
WINNSBORO, TX
ZIP 75494
Phone: (903) 342-3760
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MRS. Tina Gayle Hanner, FNP-C is a family nurse practitioner in Winnsboro, TX. MRS. Tina Gayle Hanner, FNP-C NPI is 1194151423. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

719 W COKE RD
BLDG. 4, STE 6
WINNSBORO, TX
ZIP 75494-011
Phone: (903) 342-3760

The NPI 1194151423 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/18/2013 and was last updated on 5/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	661717	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8638MC	OTHER	TEXAS	BCBS
2	75-2616977-043	OTHER	TEXAS	TRICARE
3	328273302	MEDICAID	TEXAS
4	75-2771569-005	OTHER	TEXAS	TRICARE
5	328273301	MEDICAID	TEXAS
6	325349YMAF	MEDICARE PIN	TEXAS
7	8583ND	OTHER	TEXAS	BCBS
8	P01812452	OTHER	TEXAS	RAIL ROAD MEDICARE
9	P01280555	OTHER	TEXAS	RAIL ROAD
10	75-2616977-066	OTHER	TEXAS	TRICARE
11	325349YN3X	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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