Active NPI
Vernon L Hanson, RN, NP-C
- Family Nurse Practitioner
- Rogers, MN
National Provider Identifier
1396004487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R 183741-8
- Practice address
- 13688 Rogers Dr
Suite 230
Rogers, MN 55374-4916 - Phone
- (952) 949-1035
- NPI assigned
- May 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R 183741-8 | MN | Primary |
Addresses
Primary practice location
13688 Rogers Dr
Suite 230
Rogers, MN 55374-4916
Mailing address
18103 Dane Dr
Eden Prairie, MN 55347
Phone (952) 949-1035
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 183741-8 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1396004487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18103 DANE DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "55347",
"telephone_number": "952-949-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13688 ROGERS DR",
"address_2": "SUITE 230",
"city": "ROGERS",
"state": "MN",
"postal_code": "553744916",
"telephone_number": "952-949-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "VERNON",
"middle_name": "L",
"credential": "RN, NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-09",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R 183741-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.