Individual provider Active NPI

Amy Marie Hansen, RD

  • Registered Dietitian
  • San Francisco, CA
National Provider Identifier
1396299723
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86034439 Issued in MI
Practice address
3700 California St
G321
San Francisco, CA 94118-1618
Phone
(415) 600-6388
Fax
(415) 600-2376
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 86034439 MI
Registered Dietitian 133V00000X 86034439 MI Primary
Pediatric Nutrition Registered Dietitian 133VN1004X 86034439 MI
Renal Nutrition Registered Dietitian 133VN1005X 86034439 MI
Metabolic Nutrition Registered Dietitian 133VN1006X 86034439 MI

Addresses

Primary practice location

3700 California St
G321
San Francisco, CA 94118-1618

Mailing address

3700 California St
G321
San Francisco, CA 94118-1618
Phone (415) 600-6388

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

State licenses

LicenseStateTypeSpecialty
86034439MIMDMetabolic Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1396299723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 CALIFORNIA ST",
            "address_2": "G321",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181618",
            "telephone_number": "415-600-6388",
            "fax_number": "415-600-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CALIFORNIA ST",
            "address_2": "G321",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181618",
            "telephone_number": "415-600-6388",
            "fax_number": "415-600-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MI",
            "license": "86034439",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "86034439",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MI",
            "license": "86034439",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "MI",
            "license": "86034439",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MI",
            "license": "86034439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.