Active NPI
Katelyn Hanson, AGACNP-BC
- Acute Care Nurse Practitioner
- Charlottesville, VA
National Provider Identifier
1093235426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024174993
- Practice address
- 500 Ray C Hunt Dr
Charlottesville, VA 22903-2981 - Phone
- (434) 243-1000
- Fax
- (434) 244-7551
- NPI assigned
- Jun 27, 2017
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024174993 | VA | Primary |
Addresses
Primary practice location
500 Ray C Hunt Dr
Charlottesville, VA 22903-2981
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other practice location 1
1221 Lee St Fl 2
Charlottesville, VA 22908-0001
Phone (434) 243-1000
Other names 1
- Katelyn Marie Comerzan
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khanson355006@direct.healthsystem.virginia.edu | Direct |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1093235426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RAY C HUNT DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229032981",
"telephone_number": "434-243-1000",
"fax_number": "434-244-7551"
}
],
"practiceLocations": [
{
"address_1": "1221 Lee St Fl 2",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080001",
"country_code": "US",
"telephone_number": "434-243-1000",
"fax_number": "434-244-7551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSON",
"first_name": "KATELYN",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024174993",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khanson355006@direct.healthsystem.virginia.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "500 Ray C Hunt Dr",
"city": "Charlottesville",
"state": "VA",
"country_code": "US",
"postal_code": "229032981",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATELYN",
"last_name": "COMERZAN",
"middle_name": "MARIE",
"credential": "AGACNP-BC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.