Camilla Catherine Karen Hansen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP017088 Issued in PA

Practice address

5027 Pennell Rd
Aston, PA 19014-1869

Phone

(866) 862-2955

NPI assigned

Apr 6, 2017

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

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1295268241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 PENNELL RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190141869",
            "telephone_number": "866-862-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 PENNELL RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190141869",
            "telephone_number": "866-862-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CAMILLA",
        "middle_name": "CATHERINE KAREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SP17088",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Kenneth Grant, D.M.D.
• Olivia Graves, DPT
• Ashley Gray, ATC, MS
• Heather Gregory
• Kelsey Katlyn Grib-Harm, DPT
• Ashley Selena Harris, DPT
• Jonathan Paul Harris
• Paul Mark Hastie, D.C.
• Jessica Hastings
• Divya G Hattay

• Family Nurse Practitioner in Aston, PA
• Providers in Aston, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.