Katrina Marie Hansen, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

TLP053705 Issued in AZ

Practice address

5737 S Roosevelt St
Tempe, AZ 85283-2739

Phone

(480) 215-1735

NPI assigned

May 17, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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

Other names 1

• Katrina Marie Rothra Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629505920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 S ROOSEVELT ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832739",
            "telephone_number": "480-215-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 S ROOSEVELT ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832739",
            "telephone_number": "480-215-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "TLP053705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "ROTHRA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dan Hankins, M.D.
• Terry John Hanley, D.M.D.
• Dylan Michael Hannah, PT, DPT
• Jacee Hanon
• Danielle N Hansen, PMHNP-BC, FNP-C
• Jill Renae Hanson, PHARMD
• Casey Dean Hanyzewski, D.P.T.
• Megan Hanyzewski, PT
• Happy Foster Family Adult Care Home LLC
• Happy Foster Family Adult Care Home LLC

• Licensed Practical Nurse in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Licensed Practical Nurse in Arizona

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

Verify at the official NPI Registry.