Individual provider Active NPI

Lori Jean Hanson, C.N.M.

  • Midwife
  • Cedar Falls, IA
National Provider Identifier
1457339236
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
B-077389 Issued in IA
Practice address
1824 W 8TH St
Cedar Falls, IA 50613-2056
Phone
(319) 266-5491
Fax
(319) 266-5452
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X B-077389 IA Primary

Addresses

Primary practice location

1824 W 8TH St
Cedar Falls, IA 50613-2056

Mailing address

1824 W 8TH St
Cedar Falls, IA 50613-2056
Phone (319) 266-5491

Other identifiers 3

IdentifierTypeStateIssuer
2419218MedicaidIA
0419218MedicaidIA
1419218MedicaidIA

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 Midwife

State licenses

LicenseStateTypeSpecialty
077389IAMDCounseling Psychologist
B-077389IAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1457339236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 W 8TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132056",
            "telephone_number": "319-266-5491",
            "fax_number": "319-266-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 W 8TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132056",
            "telephone_number": "319-266-5491",
            "fax_number": "319-266-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "LORI",
        "middle_name": "JEAN",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "IA",
            "license": "B-077389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2419218",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419218",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1419218",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.