Julie Anne Hansen, M.S., R.D., C.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

5143232-4901 Issued in UT

Practice address

1904 West Gordon Avenue
Layton, UT 84041-7232

Phone

(801) 444-0794

NPI assigned

Dec 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathway Academy, LLC

  dba Solstice RTC, LLC

  • Psychiatric Residential Treatment Facility
  • Layton, UT
  • NPI 1174785737
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1164853800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 160623",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840167232",
            "telephone_number": "801-444-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 WEST GORDON AVENUE",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417232",
            "telephone_number": "801-444-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D., C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "5143232-4901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER",
            "identifier": "5143232-4901",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davin Boyd Hansen, PA-C
• Debra Hansen
• Ian Hansen, FNP
• Jared Wayne Hansen
• Jill Hansen
• Kate Hansen
• Morgen Hansen
• Robert Kelly Hansen, RPH
• Stacy Lee Hansen
• Catherine Hodges Hanson, LPC

• Registered Dietitian in Layton, UT
• Providers in Layton, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.