Kimberly Dean Hansen, AT

Primary specialty

SpecialistTaxonomy code 174400000X

License

1214 Issued in AZ

Practice address

1302 E Vaughn Ave
Gilbert, AZ 85234-1015

Phone

(480) 980-8740

NPI assigned

May 2, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1588019103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 E VAUGHN AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341015",
            "telephone_number": "480-980-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 E VAUGHN AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341015",
            "telephone_number": "480-980-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KIMBERLY",
        "middle_name": "DEAN",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "1214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike Manuel Hannosh
• Adam Hanohano
• Alyssa J Hansen, RBT
• Donovan Hansen, D.D.S.
• Erika Hansen
• Matthew Leron Hansen, M.D.
• McKenzie Ke'Olao'Kalani Hansen, BCABA, BS
• Nathan Edward Hansen, DDS
• Emily C Hanson, SLP-A
• Kimberlee Faith Hanson, OTR/L, CHT

• Specialist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.