Michelle Diane Hannink

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

IMF 54366 Issued in CA

Practice address

140 Calaveras Ave
Modesto, CA 95354-3621

Phone

(209) 550-5858

NPI assigned

Mar 9, 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

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1326170945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 PASEO BELLEZA",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953827396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CALAVERAS AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953543621",
            "telephone_number": "209-550-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNINK",
        "first_name": "MICHELLE",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "IMF 54366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Betty Kilpatrick Hansen, M.S,
• Cheryl Kathleen Hansen
• Darrell Robert Hansen, M.D.
• Denise Hansen, RCP

• Professional Counselor in Modesto, CA
• Providers in Modesto, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.