Mary Paulette Hansen, APRN-CNS

Primary specialty

Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X

License

201402489CNS Issued in OR

Practice address

12406 SW 55TH PL
Portland, OR 97219-7113

Phone

(253) 229-7391

NPI assigned

Nov 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Paulette Newton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1023521234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12406 SW 55TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197113",
            "telephone_number": "253-229-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12406 SW 55TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197113",
            "telephone_number": "253-229-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MARY",
        "middle_name": "PAULETTE",
        "credential": "APRN-CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "OR",
            "license": "201402489CNS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "NEWTON",
            "middle_name": "PAULETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Hansen
• Loralee Ruth Hansen, RKT
• Mark John Hansen, LMFT
• Mark William Hansen
• Marsha L Hansen, LMT
• Matthew Hansen, MD
• Meagan Bracy Hansen, MSW, LCSW
• Melissa Hansen, PHARMD
• Michelle Lynn Hansen, OTR/L
• Natasha Hansen

• Clinical Nurse Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Nurse Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.