Active NPI
Dianne M Hansen, RN,C AHN-BC, LMT
- Nurse Massage Therapist (NMT)
- Saint Paul, MN
National Provider Identifier
1356653752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Massage Therapist (NMT)
- License
- 20040004594
- Practice address
- 732 Larpenteur Ave W
Saint Paul, MN 55113-6558 - Phone
- (651) 785-8279
- NPI assigned
- Jul 14, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Massage Therapist (NMT) | 163WM1400X | 20040004594 | MN | Primary |
| Nutrition Support Registered Nurse | 163WN1003X | R110668-6 | MN | |
| Rehabilitation Registered Nurse | 163WR0400X | R110668-6 | MN |
Addresses
Primary practice location
732 Larpenteur Ave W
Saint Paul, MN 55113-6558
Mailing address
1769 Lexington Ave N
N #236
Saint Paul, MN 55113-6522
Phone (651) 785-8279
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20040004594 | MN | MD | Nurse Massage Therapist (NMT) |
| R110668-6 | MN | MD | Nutrition Support Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livewell Health, LLC | Nutrition Support | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Registered Nurse
- Saint Paul, MN
- NPI 1437461936
Nutrition Support
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1356653752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1769 LEXINGTON AVE N",
"address_2": "N #236",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551136522",
"telephone_number": "651-785-8279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 LARPENTEUR AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551136558",
"telephone_number": "651-785-8279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "DIANNE",
"middle_name": "M",
"credential": "RN,C AHN-BC, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WM1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
"state": "MN",
"license": "20040004594",
"primary": true
},
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "MN",
"license": "R110668-6",
"primary": false
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "MN",
"license": "R110668-6",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.