Active NPI
Kathryn A Hansen, CRNP
- Adult Health Nurse Practitioner
- Rockville, MD
National Provider Identifier
1700977139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R113593
- Practice address
- 1201 Seven Locks Rd
Suite 111
Rockville, MD 20854-2957 - Phone
- (301) 762-5020
- Fax
- (301) 294-7569
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R113593 | MD | Primary |
Addresses
Primary practice location
1201 Seven Locks Rd
Suite 111
Rockville, MD 20854-2957
Mailing address
PO Box 79632
Baltimore, MD 21279-0632
Phone (301) 762-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 416244700 | Medicaid | MD |
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1700977139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 79632",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212790632",
"telephone_number": "301-762-5020",
"fax_number": "301-309-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 SEVEN LOCKS RD",
"address_2": "SUITE 111",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208542957",
"telephone_number": "301-762-5020",
"fax_number": "301-294-7569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "KATHRYN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R113593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "416244700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.