Active NPI
Brandon John Hanson, MS, RD, LMNT
- Registered Dietitian
- North Platte, NE
National Provider Identifier
1518680933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 971
- Practice address
- 601 W Leota St
North Platte, NE 69101-6525 - Phone
- (308) 568-8000
- NPI assigned
- Sep 21, 2022
- Last updated
- Sep 21, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 971 | NE | Primary |
Addresses
Primary practice location
601 W Leota St
North Platte, NE 69101-6525
Mailing address
620 Gilman Ave
North Platte, NE 69101-5879
Phone (308) 750-8959
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 971 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1518680933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 GILMAN AVE",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015879",
"telephone_number": "308-750-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W LEOTA ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016525",
"telephone_number": "308-568-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "BRANDON",
"middle_name": "JOHN",
"credential": "MS, RD, LMNT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.