Individual provider Active NPI

Kristin Hanson

  • Behavior Analyst
  • Sioux City, IA
National Provider Identifier
1508232695
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
709 Iowa St
Sioux City, IA 51105-1945
Phone
(712) 522-2961
Fax
(712) 522-4664
NPI assigned
Aug 12, 2015
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

709 Iowa St
Sioux City, IA 51105-1945

Mailing address

709 Iowa St
Sioux City, IA 51105-1945
Phone (712) 522-2961

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

Practice roles

OrganizationSpecialtyStatusNew patients
KP Enterprises Iowa Behavior Analyst Current Accepting new patients
KP Enterprises Iowa Behavior Analyst Current Accepting new patients
Mid Step Services Past Accepting new patients

Locations

1315 S Bell Ave
Ste 108
Ames, IA 50010
Phone (515) 337-0343

220 W 1st St
Ste 100
Ankeny, IA 50023
Phone (515) 261-2402

7755 Office Plaza Dr N
Ste 105
West Des Moines, IA 50266
Phone (515) 218-8445

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1508232695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 IOWA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051945",
            "telephone_number": "712-522-2961",
            "fax_number": "712-522-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 IOWA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051945",
            "telephone_number": "712-522-2961",
            "fax_number": "712-522-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.