Individual provider Active NPI

Hanako Shishido, PH.D.

  • Student in an Organized Health Care Education/Training Program
  • Fort Collins, CO
National Provider Identifier
1023419660
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Colorado State University
Aylesworth Hall, NE Wing
Fort Collins, CO 80523-8010
Phone
(970) 491-1740
NPI assigned
Sep 15, 2014
Last updated
Sep 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

Colorado State University
Aylesworth Hall, NE Wing
Fort Collins, CO 80523-8010

Mailing address

Colorado State University
Aylesworth Hall, NE Wing
Fort Collins, CO 80523-8010
Phone (970) 491-1740

Other names 1

  • Dr. Hanako Murase Other name

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1023419660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COLORADO STATE UNIVERSITY",
            "address_2": "AYLESWORTH HALL, NE WING",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805238010",
            "telephone_number": "970-491-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLORADO STATE UNIVERSITY",
            "address_2": "AYLESWORTH HALL, NE WING",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805238010",
            "telephone_number": "970-491-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHISHIDO",
        "first_name": "HANAKO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANAKO",
            "last_name": "MURASE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.