Kimberly S Hanson, ANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200450044NP FNP Issued in OR

Practice address

3355 Riverbend Dr
Suite 500
Springfield, OR 97477-8800

Phone

(541) 868-9500

Fax

(541) 685-5920

NPI assigned

Jul 18, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Heart of Eagle River Medical Clinic

  • Family Medicine Physician
  • Eagle River, AK
  • NPI 1033277041
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1265451561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DR",
            "address_2": "SUITE 500",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-868-9500",
            "fax_number": "541-685-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DR",
            "address_2": "SUITE 500",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-868-9500",
            "fax_number": "541-685-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200450044NP FNP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275444",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanger Prosthetics & Orthotics West, Inc.
• Margareta Hanikyrova-Borland, D.D., L.D.
• Christian E Hanson, DMD
• Debra Hanson, RN
• Kenneth N Hanson, D.O.
• Lee Hanson, DMD
• Karen L Harbour
• Haley Nicole Hardin, QMHA, THW, YPSS
• Aaron Wayne Harding, M.S.
• Paola Hardt, P.T.

• Family Nurse Practitioner in Springfield, OR
• Providers in Springfield, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.