Active NPI
Amanda A Hansen, MED, ATC
- Athletic Trainer
- Lincoln, NE
National Provider Identifier
1407050495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 345
- Practice address
- 575 S 70TH St Ste 200
Lincoln, NE 68510-2471 - Phone
- (402) 488-3322
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 345 | NE | Primary |
Addresses
Primary practice location
575 S 70TH St Ste 200
Lincoln, NE 68510-2471
Mailing address
431 N 44TH St Apt 1435
Lincoln, NE 68503-3757
Phone (402) 617-1896
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)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 345 | NE | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407050495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 N 44TH ST APT 1435",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685033757",
"telephone_number": "402-617-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 S 70TH ST STE 200",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102471",
"telephone_number": "402-488-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "AMANDA",
"middle_name": "A",
"name_prefix": "Miss",
"credential": "MED, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
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.