Active NPI
Katrina Hanson, LAC
- Acupuncturist
- Oakland, CA
National Provider Identifier
1063941201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC17506
- Practice address
- 6323 Telegraph Ave
Oakland, CA 94609-1328 - Phone
- (510) 394-2743
- Fax
- (510) 281-7512
- NPI assigned
- Jun 10, 2017
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC17506 | CA | Primary |
Addresses
Primary practice location
6323 Telegraph Ave
Oakland, CA 94609-1328
Mailing address
6323 Telegraph Ave
Oakland, CA 94609-1328
Phone (510) 394-2743
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 |
|---|---|---|---|
| AC17506 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter East Bay Medical Foundation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1063941201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6323 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091328",
"telephone_number": "510-394-2743",
"fax_number": "510-281-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6323 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091328",
"telephone_number": "510-394-2743",
"fax_number": "510-281-7512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "KATRINA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-10",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.