Michael William Hansen, MS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

11000 Mann Rd
Wilton, CA 95693-9752

Phone

(916) 690-5702

NPI assigned

Apr 7, 2022

Sex

Male

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

Credentials

Master of Science

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1194467514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 MANN RD",
            "city": "WILTON",
            "state": "CA",
            "postal_code": "956939752",
            "telephone_number": "916-690-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 MANN RD",
            "city": "WILTON",
            "state": "CA",
            "postal_code": "956939752",
            "telephone_number": "916-690-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinndena Brass
• Brave Little Hooves Licensed Professional Clinical Counselor
• Cataleen Burgess-Pal
• Shane Fuller
• Amber Lee Garza, LMFT # 97120
• Inaya Mohamad Hazime, PHARM.D.
• Jaime Klosinski, LCSW
• Cristina Lockie
• Theresa Lynn Mark-McKeever
• Montay McDaniel

• Registered Dietitian in Wilton, CA
• Providers in Wilton, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.