Active NPI
Sydney Bree Hansen, MS, RD
- Registered Dietitian
- Tracy, CA
National Provider Identifier
1295200061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86080492
- Practice address
- 2151 W Grant Line Rd
Tracy, CA 95377-7309 - Phone
- (209) 820-1500
- NPI assigned
- Oct 9, 2018
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86080492 | CA | Primary |
Addresses
Primary practice location
2151 W Grant Line Rd
Tracy, CA 95377-7309
Mailing address
7210 Murray Drive
P.O. Box 779
Stockton, CA 95201
Phone (209) 373-2800
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86080492 | CA | MD | Registered Dietitian |
Interoperability endpoints
- sydney.hansen.p1@direct.cmcentersinc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1295200061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7210 MURRAY DRIVE",
"address_2": "P.O. BOX 779",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95201",
"telephone_number": "209-373-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 W GRANT LINE RD",
"city": "TRACY",
"state": "CA",
"postal_code": "953777309",
"telephone_number": "209-820-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "SYDNEY",
"middle_name": "BREE",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-09",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86080492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.