Individual provider Active NPI

Kathleen D. Hansen, D.C.

  • Chiropractor
  • Elkhorn, WI
National Provider Identifier
1124562798
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5190-12 Issued in WI
Practice address
9 N Wisconsin St
Elkhorn, WI 53121-1737
Phone
(262) 949-6407
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5190-12 WI Primary

Addresses

Primary practice location

9 N Wisconsin St
Elkhorn, WI 53121-1737

Mailing address

1119 Larkdale LN
Elkhorn, WI 53121-8907
Phone (262) 949-6407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170124003152 WI Practitioner - Chiropractic 1254613391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
May accept Medicare assignment
Group practices
E F Chiropractic IncGroup PAC ID 2163826611, 2 clinicians

Practice addresses (Care Compare)

793 E Geneva St
Elkhorn, WI 53121-2303
Phone (262) 379-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5190-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
E F Chiropractic Inc Chiropractor CurrentSince Jun 1, 2021 Accepting new patients

Locations

793 E Geneva St
Elkhorn, WI 53121
Phone (262) 379-1800

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1124562798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 LARKDALE LN",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531218907",
            "telephone_number": "262-949-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N WISCONSIN ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211737",
            "telephone_number": "262-949-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KATHLEEN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5190-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.