Madeline Marie Hansen, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10877623-4405 Issued in UT

Practice address

1250 E 3900 S Ste 260
SLC, UT 84124-1371

Phone

(801) 879-5900

NPI assigned

Jun 2, 2020

Last updated

Nov 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1437773751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6526 S 2425 E",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841212608",
            "telephone_number": "801-879-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 260",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841241371",
            "telephone_number": "801-879-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MADELINE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10877623-4405",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "UT",
            "license": "108776233102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Dameon Hanks
• Manal Hanna
• Hannele Laine, MD, PC
• Amber Hansen
• Hillary Jean Hansen
• Scott F Hansen, MD
• Spencer Kimball Hansen, MD
• Kristina Hanson, DPT
• Nicholas Gary Hanson, M.D.
• Marsha Hardman-Lundell, LCSW

• Family Nurse Practitioner in SLC, UT
• Providers in SLC, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.