Stacey Hansen

Primary specialty

PharmacistTaxonomy code 183500000X

License

115629 Issued in MN

Practice address

5527 Zenith Ave S
Edina, MN 55410-2466

Phone

(952) 807-1711

NPI assigned

Sep 19, 2014

Last updated

Sep 19, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1174925291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 ZENITH AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554102466",
            "telephone_number": "952-807-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 ZENITH AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554102466",
            "telephone_number": "952-807-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "STACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "115629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernst Hansch, MD
• Bethany Noel Hansen, PT
• Carol E Hansen, CRNA
• Eric Wayne Hansen, LICSW LMFT
• Melinda Marie Hansen, RN, CNS
• Brent Hanson, M.D.
• Brooklyn Hanson
• Gayle Hanson
• Parker Jon Hanson, DO
• Zeeshan Haq

• Pharmacist in Edina, MN
• Providers in Edina, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.