Active NPI
Anna Marie Hansen
- Counselor
- Iona, ID
National Provider Identifier
1023738804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 5186 Scoresby Ave
Iona, ID 83427-5015 - Phone
- (208) 520-8392
- NPI assigned
- Aug 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | ID | Primary |
Addresses
Primary practice location
5186 Scoresby Ave
Iona, ID 83427-5015
Mailing address
5186 Scoresby Ave
Iona, ID 83427-5015
Phone (208) 520-8392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A0009941 | Medicaid | ID |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1023738804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5186 SCORESBY AVE",
"city": "IONA",
"state": "ID",
"postal_code": "834275015",
"telephone_number": "208-520-8392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5186 SCORESBY AVE",
"city": "IONA",
"state": "ID",
"postal_code": "834275015",
"telephone_number": "208-520-8392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "ANNA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A0009941",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iona, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.