Carol Jeanne Hansen

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

THW000002476 Issued in OR

Practice address

72A Centennial Loop Ste 150
Eugene, OR 97401-2447

Phone

(971) 219-7949

NPI assigned

Mar 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1053879361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092 PRASLIN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974021025",
            "telephone_number": "541-968-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72A CENTENNIAL LOOP STE 150",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012447",
            "telephone_number": "971-219-7949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Centennial Loop Ste 150",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012462",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72A Centennial Loop Ste 150",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012447",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72A Centennial Loop Ste 150",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012447",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CAROL",
        "middle_name": "JEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000002476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODOL",
            "identifier": "4854649",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alanna Hannegraf
• Tyler Dean Hannum
• Andrea Hansen-Miller
• Adrian Joline Hansen, LMT
• Cameron Hansen
• Dawn Elizabeth Hansen
• Elizabeth Hansen, LDM
• Eric Joel Hansen, DC
• Jeremy J Hansen
• Kathryn Hansen

• Peer Specialist in Eugene, OR
• Providers in Eugene, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.