Brandy J Hansen, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

11128253

Practice address

200 W Front St
Bloomington, IL 61701-5048

Phone

(309) 888-5971

NPI assigned

Jan 8, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1225375488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W FRONT ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015048",
            "telephone_number": "309-888-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W FRONT ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015048",
            "telephone_number": "309-888-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "BRANDY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "11128253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James B Hancock, M.D.
• Christina Marie Haney
• Kira Haney
• Hanger Prosthetics & Orthotics East Inc
• Sara L Hanley
• Cheryl Hansen, APRN
• Hannah E Hansen, LCSW
• Katie Ann Hansen
• Bert John Hanson
• Brian James Hanson, MA, CADC

• Lactation Consultant (Non-RN) in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Lactation Consultant (Non-RN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.