Active NPI
Kristina D. Hansen, MD
- Family Medicine Physician
- Reno, NV
National Provider Identifier
1306810684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10375
- Practice address
- 975 Ryland St
Suite 100
Reno, NV 89502-1667 - Phone
- (775) 982-5210
- Fax
- (775) 982-5220
- NPI assigned
- Feb 14, 2006
- Last updated
- Nov 12, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10375 | NV | Primary |
Addresses
Primary practice location
975 Ryland St
Suite 100
Reno, NV 89502-1667
Mailing address
780 Kuenzli St
Suite 202
Reno, NV 89502-0845
Phone (775) 982-4590
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11040516 | Other | CAQH | |
| P00007859 | Other | NV | RAILROAD MEDICARE |
| 002016991 | Medicaid | NV |
Other names 1
- Kristina Disbrow
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provider Network, Inc | Family Medicine | Past | Accepting new patients |
| Renown Urgent Care LLC | Family Medicine | 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.
-
dba Fernley Medical Group
- Family Medicine Physician
- Fernley, NV
- NPI 1508811084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1306810684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 KUENZLI ST",
"address_2": "SUITE 202",
"city": "RENO",
"state": "NV",
"postal_code": "895020845",
"telephone_number": "775-982-4590",
"fax_number": "775-982-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 RYLAND ST",
"address_2": "SUITE 100",
"city": "RENO",
"state": "NV",
"postal_code": "895021667",
"telephone_number": "775-982-5210",
"fax_number": "775-982-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "KRISTINA",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "10375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11040516",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00007859",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002016991",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "DISBROW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.