Madison Hanselman

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

License

L10106 Issued in CA

Practice address

435 N McDowell Blvd # 119
Petaluma, CA 94954-2339

Phone

(707) 863-0228

NPI assigned

Jan 5, 2026

Sex

Unspecified or another gender identity

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

Other names 1

• Madison Hanselman Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Bay Electrology

  • Speech/Language/Hearing Specialist/Technologist
  • Petaluma, CA
  • NPI 1841159902
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1083571848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 MARYLYN CIR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545823",
            "telephone_number": "707-919-9094",
            "fax_number": "707-919-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N MCDOWELL BLVD # 119",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542339",
            "telephone_number": "707-863-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSELMAN",
        "first_name": "MADISON",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist",
            "state": "CA",
            "license": "L10106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BARBERCOSMO.CA.GOV",
            "identifier": "L10106",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.glossgenius.com/",
            "affiliation": "N",
            "endpointDescription": "Soap Notes through Gloss Genius",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Gloss Genius Soap Notes - Electrology",
            "address_1": "435 N McDowell Blvd",
            "city": "Petaluma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949542339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "HANSELMAN",
            "credential": "RYAN HANSELMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cameron Alexander Hampton
• Miyah Hampton
• Kari Marie Hana
• Erin Hanauer, PA-C
• Jacqueline Fanchon Hanley
• Forrest Hansen, RBT
• Leslie Carol Hansen, MFT
• Lisa Nicole Harb, DPT
• Sean Hardcaslte, DVM
• Eleanor Harding

• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.