Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colleen Hannon

Individual provider Family Nurse Practitioner · NPI 1649706854

Colleen Hannon is a Nurse Practitioner in New York, New York. Qualified in 2016, 10 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

205 E 64th St
New York, NY 10065
Phone: (646) 888-4232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F341509-1 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 637523 (NY)

Record details

NPI number1649706854
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2017
Last updated in NPPESAugust 21, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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