Active NPI
Marilyn R Hansen, CNP
- Gerontology Nurse Practitioner
- Highland Hills, OH
National Provider Identifier
1396765772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- NP02348
- Practice address
- 4310 Richmond Rd
Center for Skilled Nursing Care
Highland Hills, OH 44122-6106 - Phone
- (216) 464-9500
- NPI assigned
- Jul 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NP02348 | OH | Primary |
Addresses
Primary practice location
4310 Richmond Rd
Center for Skilled Nursing Care
Highland Hills, OH 44122-6106
Mailing address
4310 Richmond Rd
Center for Skilled Nursing Care
Highland Hills, OH 44122-6106
Phone (216) 464-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2067409 | Medicaid | OH |
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
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP02348 | OH | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396765772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 RICHMOND RD",
"address_2": "CENTER FOR SKILLED NURSING CARE",
"city": "HIGHLAND HILLS",
"state": "OH",
"postal_code": "441226106",
"telephone_number": "216-464-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 RICHMOND RD",
"address_2": "CENTER FOR SKILLED NURSING CARE",
"city": "HIGHLAND HILLS",
"state": "OH",
"postal_code": "441226106",
"telephone_number": "216-464-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "MARILYN",
"middle_name": "R",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "NP02348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2067409",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highland Hills, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.