Kelly Elaine Hansen, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9800937-4405 Issued in UT

Practice address

1327 S Interstate Dr Ste B
Cedar City, UT 84720-1258

Phone

(435) 590-3471

Fax

(435) 921-6620

NPI assigned

Mar 28, 2024

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

State licenses

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1679324776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 E FIDDLERS CANYON RD",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217704",
            "telephone_number": "435-590-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 S INTERSTATE DR STE B",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201258",
            "telephone_number": "435-590-3471",
            "fax_number": "435-921-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KELLY",
        "middle_name": "ELAINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9800937-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kearston Hamblin-Bridge
• Cassady Hanks
• Hansen-Stults Surgical Associates LLC
• Christina M Hansen
• Heather Lynn Hansen, FNP-BC, AG-ACNP-BC
• Meleece Winward Hansen, LAT, ATC
• Stephanie Hansen, M.S., CCC-SLP
• Susan Laurie Hansen, CNM
• Taran Ence Hansen, PA-C
• Jessica Harbauer, PMHNP-BC

• Family Medicine Physician in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.