Active NPI
Sara Leigh Hanson, ANP-BC
- Dermatology Physician
- Indianapolis, IN
National Provider Identifier
1689908519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 71000330A
- Practice address
- 8103 Clearvista Pkwy Ste 260
Indianapolis, IN 46256-4697 - Phone
- (317) 621-7731
- Fax
- (317) 621-7784
- NPI assigned
- Sep 24, 2009
- Last updated
- Sep 24, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 71000330A | IN | Primary |
Addresses
Primary practice location
8103 Clearvista Pkwy Ste 260
Indianapolis, IN 46256-4697
Mailing address
8103 Clearvista Pkwy Ste 260
Indianapolis, IN 46256-4697
Phone (317) 621-7731
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000330A | IN | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1689908519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8103 CLEARVISTA PKWY STE 260",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564697",
"telephone_number": "317-621-7731",
"fax_number": "317-621-7784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8103 CLEARVISTA PKWY STE 260",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564697",
"telephone_number": "317-621-7731",
"fax_number": "317-621-7784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "SARA",
"middle_name": "LEIGH",
"credential": "ANP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IN",
"license": "71000330A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.