Theo Hanson

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

7817 E Merganser Dr
Nampa, ID 83687-4836

Phone

(208) 353-1765

NPI assigned

Jan 9, 2026

Sex

Male

Sole proprietor

Yes

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": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1639037682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 E MERGANSER DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836874836",
            "telephone_number": "208-353-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7817 E MERGANSER DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836874836",
            "telephone_number": "208-353-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "THEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Hansen, OTR/L
• Juliet Hansen, M.S.
• Melinda Janice Hansen
• Scott D. Hansen, O.D.
• Chad N Hanson, LPC
• Tawnie Hardman
• Kolby Hardy, LPC
• Leo S Harf, M.D.
• Mollie Harlow, LPC
• Stacy A Harmon, OT

• Health & Wellness Coach in Nampa, ID
• Providers in Nampa, ID by specialty
• Health & Wellness Coach in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.