MEDICARE: DR. KEVIN PATRICK HANAWAY DNP, MBA, APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	APRN3361362	FL
2	363LP2300X	Primary Care Nurse Practitioner	APRN3361362	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447666086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN PATRICK HANAWAY DNP, MBA, APRN

Provider Business Mailing Address
First Line	:	15280 NW 79TH CT STE 200
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-5873
Country	:	US
Telephone Number	:	305-558-3724
Fax Number	:

Provider Business Practice Location Address
First Line	:	3126 N FEDERAL HWY
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-6738
Country	:	US
Telephone Number	:	954-785-0900
Fax Number	:	954-786-3497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2014
Last Update Date	:	03/20/2026

Similar Medicare Providers

1710975388 — LETICIA B JEANNERET ARNP
Practice Location Address:

3126 N FEDERAL HWY
LIGHTHOUSE POINT, FL
33064-6738

Practice Phone: 954-941-3255
Practice Fax: 954-941-7797

1518929983 — DR. TERRY ALICIA RUTZ AU.D.
Practice Location Address:

3126 N FEDERAL HWY
LIGHTHOUSE POINT, FL
33064-6738

Practice Phone: 954-785-0900
Practice Fax: 954-786-3497

1356371041 — TODD KUPFERMAN MD
Practice Location Address:

3126 N FEDERAL HWY
LIGHTHOUSE POINT, FL
33064-6738

Practice Phone: 954-785-0900
Practice Fax: 954-786-3497

1003824145 — NATALIE KOREN D.D.S.
Practice Location Address:

3112 N FEDERAL HWY
LIGHTHOUSE POINT, FL
33064-6738

Practice Phone: 954-580-2200
Practice Fax: 954-580-2203

1457574030 — ROGER BLINDER DC
Practice Location Address:

3102 N FEDERAL HWY
LIGHTHOUSE POINT, FL
33064-6738

Practice Phone: 954-933-3839
Practice Fax: 954-933-3836

1811227465 — LIGHTHOUSE CHIROPRACTIC INC
Practice Location Address:

3102 N FEDERAL HWY
LIGHTHOUSE POINT, FL
33064-6738

Practice Phone: 954-933-3839
Practice Fax:

Directions to “ DR. KEVIN PATRICK HANAWAY DNP, MBA, APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.