Diane Louise Hansen, M.A.,CCC,SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0396 Issued in AZ

Practice address

6567 E Carondelet Dr Ste 515
Tucson, AZ 85710-2156

Phone

(520) 721-4544

Fax

(520) 886-8025

NPI assigned

Feb 16, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Speech Center of Southern Arizona

  • Speech-Language Pathologist
  • Tucson, AZ
  • NPI 1063614741
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1386788016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR",
            "address_2": "SUITE 515",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102156",
            "telephone_number": "520-721-4544",
            "fax_number": "520-886-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 515",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102156",
            "telephone_number": "520-721-4544",
            "fax_number": "520-886-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DIANE",
        "middle_name": "LOUISE",
        "credential": "M.A.,CCC,SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGI",
            "identifier": "SLP0396",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanover Lithotripsy, LLC
• Jonathan Michael Hanscom, PT, DPT
• Mary A Hansen Smith
• Amber Hansen, MS, RD
• Ari Thor Hansen
• Eric Travis Hansen, M.D.
• Holly Hansen
• Jacqueline Hansen, RPH
• Karen Hansen, LMHC
• Lillian Maia Hansen, NP-C

• Speech-Language Pathologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.