Active NPI
Maddie Anne Hansen, ATC, LAT
- Athletic Trainer
- Valley City, ND
National Provider Identifier
1194264473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 677-15
- Practice address
- 101 College St SW
Valley City, ND 58072-4024 - Phone
- (231) 838-3730
- NPI assigned
- Feb 19, 2017
- Last updated
- Feb 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 677-15 | ND | Primary |
Addresses
Primary practice location
101 College St SW
Valley City, ND 58072-4024
Mailing address
PO Box 705
Harbor Springs, MI 49740-0705
Phone (231) 838-3730
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 677-15 | ND | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487462400000",
"number": "1194264473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 705",
"city": "HARBOR SPRINGS",
"state": "MI",
"postal_code": "497400705",
"telephone_number": "231-838-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 COLLEGE ST SW",
"city": "VALLEY CITY",
"state": "ND",
"postal_code": "580724024",
"telephone_number": "231-838-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "MADDIE",
"middle_name": "ANNE",
"name_prefix": "Miss",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-19",
"last_updated": "2017-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ND",
"license": "677-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley City, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.