Amber Lea Hanson, LN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

N228 Issued in MN

Practice address

2025 4TH St
White Bear Lake, MN 55110-2762

Phone

(612) 787-2281

NPI assigned

Sep 19, 2018

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1265916951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 JOHNSON ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181413",
            "telephone_number": "612-245-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 4TH ST",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551102762",
            "telephone_number": "612-787-2281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4450 Nicollet Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554195035",
            "country_code": "US",
            "telephone_number": "612-598-8627",
            "fax_number": "612-284-7910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "AMBER",
        "middle_name": "LEA",
        "credential": "LN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MN",
            "license": "N228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Christine Hafemeyer, PT
• Matthew Hall, PH.D., LP
• David Phillip Halper, MA
• John P Hamerly, MD
• Erica Aimee Hansen, PTA
• Ashton Carter Hardell
• Harmony Care, Inc
• Jeanne Marie Hartle
• Samiyo Abdiaziz Hassan
• Gerald D. Hautman, M.D.

• Nutritionist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Nutritionist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.