Individual provider Active NPI

Kristin L Hanson, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Phoenix, AZ
National Provider Identifier
1659379378
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
21926 Issued in AZ
Practice address
15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone
(602) 439-9000
Fax
(602) 978-5233
NPI assigned
Jul 7, 2005
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 21926 AZ Primary

Addresses

Primary practice location

15640 N 28TH Dr
Phoenix, AZ 85053-4059

Mailing address

15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone (602) 439-9000

Other identifiers 1

IdentifierTypeStateIssuer
21926OtherAZMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050603000584 AZ Practitioner - EndocrinologyPractitioner - Internal Medicine 6901849629 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Saint Louis University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Endocrinology Center PLCGroup PAC ID 0749365781, 10 clinicians

Practice addresses (Care Compare)

15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone (602) 439-9623

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21926AZMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Hospitalists, PLLC Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Arizona Endocrinology Center, PLC CurrentSince Jul 1, 2024 Accepting new patients
Arizona Endocrinology Center, PLC Current Accepting new patients
East Valley Diabetes & Endocrinology PLC Endocrinology, Diabetes & Metabolism CurrentSince Jun 1, 2020 Accepting new patients
Arizona Endocrinology Center, PLC CurrentSince Jul 1, 2024 Accepting new patients
East Valley Diabetes & Endocrinology PLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

3100 W Ray Rd
Ste 201
Chandler, AZ 85226
Phone (269) 312-1446

3115 S Price Rd
Chandler, AZ 85248
Phone (480) 855-4011

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

4100 S Lindsay Rd
Ste 130
Gilbert, AZ 85297
Phone (480) 728-9531

5130 W Thunderbird Rd
Ste 1
Glendale, AZ 85306
Phone (602) 439-9000

15640 N 28th Dr
Phoenix, AZ 85053
Phone (602) 439-9000

36493 N Gantzel Rd
San Tan Valley, AZ 85140

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHHBBA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1659379378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 N 28TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534059",
            "telephone_number": "602-439-9000",
            "fax_number": "602-978-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 N 28TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534059",
            "telephone_number": "602-439-9000",
            "fax_number": "602-978-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "21926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "21926",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.