Active NPI
Billie Jo Hansen
- Day Training/Habilitation Specialist
- Wasilla, AK
National Provider Identifier
1013488709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- License
- 1624210
- Practice address
- 850 S Roberts St Ste 400
Wasilla, AK 99654-8206 - Phone
- (907) 373-3953
- Fax
- (907) 373-3983
- NPI assigned
- Dec 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | 1624210 | AK | Primary |
Addresses
Primary practice location
850 S Roberts St Ste 400
Wasilla, AK 99654-8206
Mailing address
850 S Roberts St Ste 400
Wasilla, AK 99654-8206
Phone (907) 373-3953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1624210 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1624210 | AK | MD | Day Training/Habilitation Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1013488709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 S ROBERTS ST STE 400",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548206",
"telephone_number": "907-373-3953",
"fax_number": "907-373-3983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S ROBERTS ST STE 400",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548206",
"telephone_number": "907-373-3953",
"fax_number": "907-373-3983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "BILLIE",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "AK",
"license": "1624210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1624210",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.