Carolyn Hansen, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9413881-4405 Issued in UT

Practice address

1068 E Riverside Dr
St George, UT 84790-4477

Phone

(435) 628-6466

Fax

(435) 628-3845

NPI assigned

Mar 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Balanced Health and Hormones LLC

  • Gynecology Physician
  • St George, UT
  • NPI 1639819253
  NPD (past)
• Southern Utah Surgical and Laser Aesthetics LLC

  • Specialist
  • St George, UT
  • NPI 1114164365
  NPD (past)

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1497213425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 SHADOW POINT DR APT 11",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847708051",
            "telephone_number": "435-680-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 E RIVERSIDE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904477",
            "telephone_number": "435-628-6466",
            "fax_number": "435-628-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CAROLYN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "9413881-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE APRN LICENSE",
            "identifier": "9413881-4405",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teisha Hannig
• Aimee Hansen
• Anja Hansen
• Ashtin Ella Hansen, RBT
• Audrey Leah Hansen, B.S., LMT
• Chandy Hansen
• Chloe Hansen
• Cody Kim Hansen, PHARMD
• Courtney Hansen
• Dawn Hansen, FNP-BC

• Nurse Practitioner in St George, UT
• Providers in St George, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.