Individual provider Active NPI

Steve Hanson, LPN

  • Licensed Practical Nurse
  • Eau Claire, WI
National Provider Identifier
1083887293
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
15960 Issued in WI
Practice address
2000 N Oxford Ave Ste 2
Eau Claire, WI 54703-5187
Phone
(715) 834-1078
Fax
(715) 834-1218
NPI assigned
Apr 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 15960 WI Primary

Addresses

Primary practice location

2000 N Oxford Ave Ste 2
Eau Claire, WI 54703-5187

Mailing address

2000 N Oxford Ave Ste 2
Eau Claire, WI 54703-5187
Phone (715) 834-1078

Other identifiers 1

IdentifierTypeStateIssuer
42022700MedicaidWI

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

LicenseStateTypeSpecialty
15960WIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Treatment of Wi, LP 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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1083887293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N OXFORD AVE STE 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035187",
            "telephone_number": "715-834-1078",
            "fax_number": "715-834-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N OXFORD AVE STE 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035187",
            "telephone_number": "715-834-1078",
            "fax_number": "715-834-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "STEVE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "15960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42022700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.