Individual provider Active NPI

Sharonah Magdalen Hanson, FAMILY PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1346596814
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP4586 Issued in AZ
Practice address
7530 E Angus Dr
Scottsdale, AZ 85251-6410
Phone
(480) 712-4210
NPI assigned
Aug 2, 2012
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP4586 AZ Primary

Addresses

Primary practice location

7530 E Angus Dr
Scottsdale, AZ 85251-6410

Mailing address

3211 E Pinchot Ave Apt 325
Phoenix, AZ 85018-8415
Phone (480) 712-4210

Other practice location 1

430 N Tucson Blvd
Tucson, AZ 85716-4745
Phone (520) 325-4837 ext. 301

Other practice location 2

1130 E Missouri Ave Ste 800
Phoenix, AZ 85014-2726
Phone (480) 712-4210

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP4586AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J. Michael Morgan, PH.D., P.C. Past Accepting new patients
Damian Parkinson MD 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.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1346596814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 E PINCHOT AVE APT 325",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188415",
            "telephone_number": "480-712-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 E ANGUS DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516410",
            "telephone_number": "480-712-4210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 N Tucson Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857164745",
            "country_code": "US",
            "telephone_number": "520-325-4837 x301",
            "fax_number": "520-323-3739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 E Missouri Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850142726",
            "country_code": "US",
            "telephone_number": "480-712-4210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "SHARONAH",
        "middle_name": "MAGDALEN",
        "credential": "FAMILY PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.