Active NPI
Sierra Hakanson
- Athletic Trainer
- Florence, AL
National Provider Identifier
1114505286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2461
- Practice address
- 1 Harrison PLZ
Florence, AL 35632-0002 - Phone
- (256) 765-5020
- NPI assigned
- Mar 31, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ATR-009176 | AZ | |
| Athletic Trainer | 2255A2300X | AT-AT-10201714 | OR | |
| Athletic Trainer | 2255A2300X | 2461 | AL | Primary |
Addresses
Primary practice location
1 Harrison PLZ
Florence, AL 35632-0002
Mailing address
77836 Mosby Creek Rd
Cottage Grove, OR 97424-9446
Phone (541) 915-8099
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 |
|---|---|---|---|
| 2461 | AL | MD | Specialist |
| ATR-009176 | AZ | MD | Athletic Trainer |
| AT-AT-10201714 | OR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1114505286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77836 MOSBY CREEK RD",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974249446",
"telephone_number": "541-915-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HARRISON PLZ",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356320002",
"telephone_number": "256-765-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKANSON",
"first_name": "SIERRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "ATR-009176",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OR",
"license": "AT-AT-10201714",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "2461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.