Active NPI
Laura Rebecca Hansen, PHARMD
- Pharmacist
- Burnsville, MN
National Provider Identifier
1265718290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 120123
- Practice address
- 14700 Lac Lavon Dr
Burnsville, MN 55306-6398 - Phone
- (952) 432-4471
- NPI assigned
- Oct 21, 2011
- Last updated
- Oct 21, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 120123 | MN | Primary |
Addresses
Primary practice location
14700 Lac Lavon Dr
Burnsville, MN 55306-6398
Mailing address
6493 Tanager LN
Eden Prairie, MN 55346-1811
Phone (952) 334-4542
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120123 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1265718290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6493 TANAGER LN",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553461811",
"telephone_number": "952-334-4542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 LAC LAVON DR",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553066398",
"telephone_number": "952-432-4471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "LAURA",
"middle_name": "REBECCA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "120123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.