Individual provider Active NPI

Kathryn M Hansen, MD

  • Pediatrics Physician
  • North Attleboro, MA
National Provider Identifier
1346260452
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
227930 Issued in MA
Practice address
652 E Washington St Unit 2
North Attleboro, MA 02760-2488
Phone
(508) 576-5010
Fax
(508) 213-3685
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 227930 MA Primary

Addresses

Primary practice location

652 E Washington St Unit 2
North Attleboro, MA 02760-2488

Mailing address

652 E Washington St Unit 2
North Attleboro, MA 02760-2488
Phone (508) 576-5010

Other practice location 1

303 N Main St
Attleboro, MA 02703-1752
Phone (508) 222-2096

Other identifiers 3

IdentifierTypeStateIssuer
AA62514OtherMAHPHC
494762OtherMATUFTS
000000033330OtherMABMC HEALTHNET

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

Interoperability endpoints

  • Direct secure messaging: khansen@peak.pcc-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1346260452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 E WASHINGTON ST UNIT 2",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602488",
            "telephone_number": "508-576-5010",
            "fax_number": "508-213-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 E WASHINGTON ST UNIT 2",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602488",
            "telephone_number": "508-576-5010",
            "fax_number": "508-213-3685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Main St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027031752",
            "country_code": "US",
            "telephone_number": "508-222-2096",
            "fax_number": "508-226-8552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "227930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA62514",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "494762",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "000000033330",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.