Heidee I. Hanson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60245253 Issued in WA

Practice address

520 W. Indian Ave.
Brewster, WA 98812-0000

Phone

(509) 689-2525

Fax

(509) 689-3247

NPI assigned

Apr 10, 2008

Last updated

Nov 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1336312495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988120337",
            "telephone_number": "509-689-2525",
            "fax_number": "509-689-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W. INDIAN AVE.",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988120000",
            "telephone_number": "509-689-2525",
            "fax_number": "509-689-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "HEIDEE",
        "middle_name": "I.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60245253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336312495",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1925659",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Gewirtz
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• Eric E Haeger, MD
• Bradley Christopher Hagen, ARNP, FNP
• Shannon Hampe, LMP
• Lindsay Keith Hanson, MD
• Molly Trainor Hogan, MD
• Susan Renee Huber
• Allan D. Huffman, M.D./
• Maria Guadalupe Hurtado Rojas

• Physician Assistant in Brewster, WA
• Providers in Brewster, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.