Individual provider Active NPI

Tinneke A Hanson

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1184143299
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006959 Issued in CA
Practice address
7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone
(559) 326-1222
NPI assigned
Sep 11, 2017
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95006959 CA Primary

Addresses

Primary practice location

7130 N Millbrook Ave
Fresno, CA 93720-3347

Mailing address

1510 E Herndon Ave Ste 310
Fresno, CA 93720-3393
Phone (559) 326-1222

Other practice location 1

7085 N Maple Ave
Fresno, CA 93720-8011
Phone (559) 431-8888

Other practice location 2

1125 E Spruce Ave Ste 103
Fresno, CA 93720-3387
Phone (559) 878-4510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118002116 CA Practitioner - Nurse Practitioner 5496289175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone (559) 326-1222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Cancer Associates for Research and Excellence Inc CurrentSince Jan 1, 2025 Accepting new patients
Community Foundation Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Community Foundation Medical Group CurrentSince Oct 1, 2024 Accepting new patients
California Cancer Associates for Research and Excellence Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

1125 E Spruce Ave
Ste 103
Fresno, CA 93720
Phone (553) 475-0286

1510 E Herndon Ave
Ste 310
Fresno, CA 93720
Phone (559) 326-1222

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7121 N Whitney Ave
Fresno, CA 93720
Phone (559) 299-9395

7130 N Millbrook Ave
Fresno, CA 93720
Phone (559) 326-1222

451 E Almond Ave
Ste 103
Madera, CA 93637
Phone (559) 673-4000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1184143299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E HERNDON AVE STE 310",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203393",
            "telephone_number": "559-326-1222",
            "fax_number": "559-421-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203347",
            "telephone_number": "559-326-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7085 N Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937208011",
            "country_code": "US",
            "telephone_number": "559-431-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 E Spruce Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203387",
            "country_code": "US",
            "telephone_number": "559-878-4510",
            "fax_number": "559-878-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "TINNEKE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.