Active NPI
Hazel M Hanson, APNP
- Acute Care Nurse Practitioner
- West Bend, WI
National Provider Identifier
1215163746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 3286-033
- Practice address
- 1201 Oak St
West Bend, WI 53095-3800 - Phone
- (262) 334-8339
- Fax
- (262) 306-7717
- NPI assigned
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 3286-033 | WI | Primary |
Addresses
Primary practice location
1201 Oak St
West Bend, WI 53095-3800
Mailing address
1201 Oak St
West Bend, WI 53095-3800
Phone (262) 334-8339
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 |
|---|---|---|---|
| 3286-033 | WI | MD | Acute Care Nurse Practitioner |
Interoperability endpoints
- hazel.hanson.2@14940.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1215163746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 OAK ST",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530953800",
"telephone_number": "262-334-8339",
"fax_number": "262-306-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 OAK ST",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530953800",
"telephone_number": "262-334-8339",
"fax_number": "262-306-7717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "HAZEL",
"middle_name": "M",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WI",
"license": "3286-033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.