Active NPI
Russell Hansen, R.D.
- Registered Dietitian
- Billings, MT
National Provider Identifier
1679788152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 221
- Practice address
- 2945 Miles Ave
Billings, MT 59102-4530 - Phone
- (406) 656-6139
- Fax
- (406) 656-0253
- NPI assigned
- May 10, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 221 | MT | Primary |
Addresses
Primary practice location
2945 Miles Ave
Billings, MT 59102-4530
Mailing address
2945 Miles Ave
Billings, MT 59102-4530
Phone (406) 656-6139
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221 | MT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679788152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2945 MILES AVE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591024530",
"telephone_number": "406-656-6139",
"fax_number": "406-656-0253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 MILES AVE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591024530",
"telephone_number": "406-656-6139",
"fax_number": "406-656-0253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "RUSSELL",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.