Kristi Mae Hanson, OCCUPATIONAL THERAPY

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

100852 Issued in MN

Practice address

1502 London Rd Ste 102
Essentia Health Lakewalk Clinic
Duluth, MN 55812-1787

Phone

(218) 576-0100

NPI assigned

Mar 25, 2010

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 identifiers 1

Other names 1

• Kristi Mae Hammer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1679897276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 LONDON RD STE 102",
            "address_2": "ESSENTIA HEALTH LAKEWALK CLINIC",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121787",
            "telephone_number": "218-576-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 LONDON RD STE 102",
            "address_2": "ESSENTIA HEALTH LAKEWALK CLINIC",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121787",
            "telephone_number": "218-576-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KRISTI",
        "middle_name": "MAE",
        "credential": "OCCUPATIONAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "100852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679897276",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "HAMMER",
            "middle_name": "MAE",
            "credential": "OCCUPATIONAL THERAPY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Hanson, OTR
• David Carl Hanson, MD
• Eric John Hanson, DPT
• Isaac Lee Hanson, DO
• Joan Marie Hanson
• Lauren Jo Hanson, PHARMD
• Madison Hanson
• Natalie Hanson
• Nicholas Hanson
• Richard D Hanson, CRNA

• Occupational Therapist in Duluth, MN
• Providers in Duluth, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.