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SAMANTHA RAZAVI HANES ARNP NPI 1427340934


NPI Information

NPI: 1427340934
Provider Name: SAMANTHA RAZAVI HANES, ARNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC

PECOS Registration: Yes

Address:
3627 UNIVERSITY BLVD S
SUITE 700
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 399-5678
Get Directions

Samantha Razavi Hanes, ARNP is an acute care nurse practitioner in Jacksonville, FL with 13 years of experience. Samantha Razavi Hanes, ARNP NPI is 1427340934. 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:

3627 UNIVERSITY BLVD S
SUITE 700
JACKSONVILLE, FL
ZIP 32216-230
Phone: (904) 399-5678
Fax: (904) 399-8488

The NPI 1427340934 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Determination of lung volumes using plethysmography (HCPCS:94726)
  • Measurement of lung diffusing capacity (HCPCS:94729)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)

The enumeration date for this NPI number is 5/3/2011 and was last updated on 2/9/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute CareCOA-12326-NPOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1015482700MEDICAIDFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.