Active NPI
Lara Hanson
- Social Worker
- Des Moines, IA
National Provider Identifier
1609299049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 008318
- Practice address
- 2353 SE 14TH St
Des Moines, IA 50320-1109 - Phone
- (515) 248-1400
- NPI assigned
- Jan 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 008318 | IA | Primary |
Addresses
Primary practice location
2353 SE 14TH St
Des Moines, IA 50320-1109
Mailing address
1200 University Ave
Suite 200
Des Moines, IA 50314-2355
Phone (515) 248-1447
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008318 | IA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1609299049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 UNIVERSITY AVE",
"address_2": "SUITE 200",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142355",
"telephone_number": "515-248-1447",
"fax_number": "515-248-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2353 SE 14TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503201109",
"telephone_number": "515-248-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "LARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-21",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "008318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.