Active NPI
Riann Elizabeth Hansen, ATC, LMT
- Athletic Trainer
- Audubon, IA
National Provider Identifier
1063553311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 00233
- Practice address
- 521 Leroy St
Audubon, IA 50025-1206 - Phone
- (712) 563-4244
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 00233 | IA | Primary |
Addresses
Primary practice location
521 Leroy St
Audubon, IA 50025-1206
Mailing address
308 N Fairview St
Exira, IA 50076-1535
Phone (712) 268-2320
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00233 | IA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063553311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 N FAIRVIEW ST",
"city": "EXIRA",
"state": "IA",
"postal_code": "500761535",
"telephone_number": "712-268-2320",
"fax_number": "712-563-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 LEROY ST",
"city": "AUDUBON",
"state": "IA",
"postal_code": "500251206",
"telephone_number": "712-563-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "RIANN",
"middle_name": "ELIZABETH",
"credential": "ATC, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "00233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Audubon, IA
Sources for this page
- 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.