Active NPI
Coleton Joshua Dotson Hanson, RDN
- Registered Dietitian
- Saint Paul, MN
National Provider Identifier
1083430235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4421
- Practice address
- 1609 Sherburne Ave
Saint Paul, MN 55104-2245 - Phone
- (612) 466-0331
- NPI assigned
- Dec 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT91462 | TX | |
| Registered Dietitian | 133V00000X | 4421 | MN | Primary |
Addresses
Primary practice location
1609 Sherburne Ave
Saint Paul, MN 55104-2245
Mailing address
1609 Sherburne Ave
Saint Paul, MN 55104-2245
Phone (612) 466-0331
Other names 1
- Mr. Cole Hanson
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 |
|---|---|---|---|
| 4421 | MN | MD | Chiropractor |
| DT91462 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1083430235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 SHERBURNE AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551042245",
"telephone_number": "612-466-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 SHERBURNE AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551042245",
"telephone_number": "612-466-0331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "COLETON",
"middle_name": "JOSHUA DOTSON",
"name_prefix": "Mr.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT91462",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "4421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLE",
"last_name": "HANSON",
"prefix": "MR.",
"credential": "RD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.