Kristen O Hansberry, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38879 Issued in MN

Practice address

7801 E Bush Lake Rd Ste 400
Minneapolis, MN 55439-3113

Phone

(952) 283-3162

Fax

(866) 991-7241

NPI assigned

Jul 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LTC Professionals, PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Minneapolis, MN
  • NPI 1689559312
  NPD
• Carlson Chiropractic Health and Healing Inc.

  • Chiropractor
  • Maple Plain, MN
  • NPI 1083747711
  NPD (past)
• Ridgeview Clinics

  • Gastroenterology Physician
  • Waconia, MN
  • NPI 1710147392
  NPD (past)
• York Family Practice

  • Family Medicine Physician
  • York, ME
  • NPI 1588713218

  Family Medicine

  NPD (past)
• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1215936216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393113",
            "telephone_number": "952-283-3162",
            "fax_number": "866-991-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393113",
            "telephone_number": "952-283-3162",
            "fax_number": "866-991-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSBERRY",
        "first_name": "KRISTEN",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "38879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "38879",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961329300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter M Hannon, MD
• Zein Alabdin Hannouneh, MD
• Rebeca Hannula, RN
• Gary David Hanovich, MD
• Fahmo Hans, LPCC
• Abby Hansen, LPCC
• Andrea Hansen, MA, LPCC
• Avery Rae Hansen
• Bradford Christian Hansen, M.D.
• Brita M Hansen, MD

• All providers in Minneapolis, MN
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.