Kristi Jo Hansen, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000894 Issued in IA

Practice address

801 5TH St
Sioux City, IA 51101-1326

Phone

(712) 279-2512

NPI assigned

Mar 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kristi Jo Fisher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sioux Falls Center for Plastic and Reconstructive Surgery

  • Clinic/Center
  • Sioux Falls, SD
  • NPI 1104201599
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1003885633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9256 W NORMA TRL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064814",
            "telephone_number": "605-274-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "712-279-2512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 East Havens Street",
            "address_purpose": "LOCATION",
            "city": "Mitchell",
            "state": "SD",
            "postal_code": "57301",
            "country_code": "US",
            "telephone_number": "605-990-4357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 S Cliff Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "57105",
            "country_code": "US",
            "telephone_number": "605-322-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 Fairmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017375",
            "country_code": "US",
            "telephone_number": "605-755-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KRISTI",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0669",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "000894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "FISHER",
            "middle_name": "JO",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matti Hannah
• Hanno Therapy Services Inc
• Danika Leigh Hansen, PMHNP
• Gentry Michael Hansen, DMD, MD
• Gracie Taylor Hansen, PHD
• Melissa Hansen, PHARMD
• Christine Anne Hanson-Harder, OTR/L
• Bethany Lynn Hanson, OTD, OTR/L
• Kristin Hanson
• Ramona L Hanson, PT

• Physician Assistant in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.