Individual provider Active NPI

Hannah Clare Anselment

  • Behavior Technician
  • Saint Michael, MN
National Provider Identifier
1699450163
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
12070 43Rd St NE Ste 200
Saint Michael, MN 55376-8427
Phone
(763) 515-3150
Fax
(763) 595-1036
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

12070 43Rd St NE Ste 200
Saint Michael, MN 55376-8427

Mailing address

12070 43Rd St NE Ste 200
Saint Michael, MN 55376-8427
Phone (763) 515-3150

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2023.

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1699450163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12070 43RD ST NE STE 200",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553768427",
            "telephone_number": "763-515-3150",
            "fax_number": "763-595-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12070 43RD ST NE STE 200",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553768427",
            "telephone_number": "763-515-3150",
            "fax_number": "763-595-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELMENT",
        "first_name": "HANNAH",
        "middle_name": "CLARE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Michael, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.