Lisa Hansen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN488598 Issued in CA

Practice address

89 W March LN
Suite #1
Stockton, CA 95207-5721

Phone

(209) 478-2622

Fax

(209) 870-2754

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 identifiers 2

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053437004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 W MARCH LN",
            "address_2": "SUITE #1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075721",
            "telephone_number": "209-478-2622",
            "fax_number": "209-870-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 W MARCH LN",
            "address_2": "SUITE #1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075721",
            "telephone_number": "209-478-2622",
            "fax_number": "209-870-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "LISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN488598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FURNISHING LICENSE",
            "identifier": "NP9830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN488598",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerollos Samoeel Hanna, MD
• Michelle Elizabeth Hanna
• Kathy Lynn Hannah, MFT
• June Roseann Hannon, PH.D.
• Emilee Kay Hansen, LMFT
• Sophia Hansen
• Carolina Hanson
• Happells Pharmacy
• Margaret Haproff, RBT, BA
• Kristine Sara Harbin

• Family Nurse Practitioner in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.