Genevieve Wilkerson Hansen

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

GENEVIEVE WILKERSON HANSEN

Practice address

146 N 4TH W
Rexburg, ID 83440-1415

Phone

(707) 815-3858

NPI assigned

Sep 9, 2021

Organization subpart

No

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

Authorized official

Name

Genevieve Marie Wilkerson HansenNPI 1154922045

Title

Intervention Professional

Phone

(707) 815-3858

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Genevieve Marie Wilkerson Hansen

  • Behavior Technician
  • Rexburg, ID
  • NPI 1154922045
  NPD Authorized official

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1558030999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 N 4TH W",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401415",
            "telephone_number": "707-815-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 N 4TH W",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401415",
            "telephone_number": "707-815-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVIEVE WILKERSON HANSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "WILKERSON HANSEN",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "INTERVENTION PROFESSIONAL",
        "authorized_official_telephone_number": "707-815-3858"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lynne Galbraith
• Dallin Brim Gambles, PA
• Don Jay Garner, PTA
• Todd Gehmlich, CRNA
• Generations Women's Clinic, PLLC
• Joshua L Gilgen, PA-C
• Austin C Gillette
• Cheryl Gimmeson
• Natalya Gonzales
• Christina Goodman, PA

• Behavior Technician in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.