Patricia M Hanson, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

400775 Issued in NY

Practice address

490 Ridge Rd E
Rochester, NY 14621-1229

Phone

(585) 922-2500

Fax

(585) 922-2664

NPI assigned

Jan 26, 2007

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1295881993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211229",
            "telephone_number": "585-922-2500",
            "fax_number": "585-922-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211229",
            "telephone_number": "585-922-2500",
            "fax_number": "585-922-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS WESTERN NY",
            "identifier": "000560933001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "P019400775",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "P019400775",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "117625EU",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02777228",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loreyn Leigh Hansen, OTR
• Sarah Hansen, MD
• Timothy John Hansen, MD
• Alexis Amoy Hanson
• Heather Lynn Hanson, PT, DPT, PCS
• Michael Hanss, P.T.
• Stuart S Hantman, M.D.
• Omar Elias Hanuch, MD
• Adrienne Marie Hanvey, RPA-C
• Prachi Hanwatkar, DDS MPH

• Psychiatric/Mental Health Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.