Phyllis Ann Hansen, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

093219 Issued in MO

Practice address

225 Physicians Park
Suite 203
Poplar Bluff, MO 63901-3935

Phone

(573) 686-4750

NPI assigned

Oct 2, 2006

Last updated

May 14, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Robert L Hall, MD

  • Ph.D. Medical Genetics
  • Poplar Bluff, MO
  • NPI 1487617932
  NPD (past)
• Pain Management Interventions, LLC

  • Interventional Pain Medicine Physician
  • Valparaiso, IN
  • NPI 1700849247
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1366536849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639020760",
            "telephone_number": "573-785-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PHYSICIANS PARK",
            "address_2": "SUITE 203",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013935",
            "telephone_number": "573-686-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "093219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hanks, LCSW
• Susan Jane Hanks, MSW
• Terri E Hanks
• Julie E Hanner, MA
• Trevor Hanner
• Ihsan Haq, MD
• Carl Raye Harbison Jr.
• Shameica Hardimon
• Stephanie Hardin
• Kathleen Soo Harget, PTA

• Nurse Practitioner in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.