Active NPI
Shara L Hansen, FNP-C
- Nurse Practitioner
- Littleton, CO
National Provider Identifier
1144305129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 123595
- Practice address
- 13402 W Coal Mine Ave Ste 230
Littleton, CO 80127-5407 - Phone
- (303) 730-2167
- Fax
- (303) 996-4820
- NPI assigned
- Oct 26, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 123595 | CO | Primary |
Addresses
Primary practice location
13402 W Coal Mine Ave Ste 230
Littleton, CO 80127-5407
Mailing address
13402 W Coal Mine Ave, Suite 230
Littleton, CO 80127-5407
Phone (303) 730-2167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123595 | Other | CO | NP LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123595 | CO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altitude Family & Internal Medicine, LLC | Current | Accepting new patients | |
| Altitude Family & Internal Medicine, LLC | Current | Accepting new patients |
Locations
13402 W Coal Mine Ave
Ste 230
Littleton, CO 80127
Phone (303) 730-2167
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Arvada, CO
- NPI 1255212122
-
- Primary Care Clinic/Center
- Littleton, CO
- NPI 1720269020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1144305129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13402 W COAL MINE AVE, SUITE 230",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801275407",
"telephone_number": "303-730-2167",
"fax_number": "303-996-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13402 W COAL MINE AVE STE 230",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801275407",
"telephone_number": "303-730-2167",
"fax_number": "303-996-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "SHARA",
"middle_name": "L",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "123595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "123595",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.