EMILY RAE HANNON PHD
NPI 1477490852
Student in an Organized Health Care Education/Training Program in Mesa, AZ

Q: What is Emily Hannon's NPI number?

The NPI number for Emily Hannon is 1477490852. It was assigned to this individual provider in the NPPES registry on May 2, 2026.

Q: What is Emily Hannon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Hannon was last updated on May 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 02, 2026PECOS Enrolled

1300 S COUNTRY CLUB DR STE 3, MESA, AZ 85210(480) 827-5500 Get Directions Write a Review

NPPES record last updated: May 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Emily Rae Hannon Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY RAE HANNON PHD (NPI 1477490852) is an individual student in an organized health care education/training program in Mesa, Arizona, licensed in Arizona (R82384) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477490852

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameEMILY RAE HANNONCredential: PHD

Location Address1300 S COUNTRY CLUB DR STE 3Mesa, AZ 85210-5162

Mailing Address1300 S Country Club Dr Ste 3Mesa, AZ 85210-5162

Phone(480) 827-5500

Sole ProprietorYes

Enumeration DateMay 2, 2026

NPPES CertifiedMay 2, 2026

✔ NPI 1477490852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in AZ · R82384

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1300 S COUNTRY CLUB DR STE 3, Mesa, AZ 85210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Rae Hannon Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA TAYLOR

Student in an Organized Health Care Education/Training Program