Individual provider Active NPI

Danika Leigh Hansen, PMHNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Sioux City, IA
National Provider Identifier
1720698335
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
G160179 Issued in IA
Practice address
625 Court Street
Sioux City, IA 51101-1919
Phone
(712) 252-3871
Fax
(712) 252-3157
NPI assigned
Aug 7, 2020
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X G160179 IA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G160179 IA

Addresses

Primary practice location

625 Court Street
Sioux City, IA 51101-1919

Mailing address

625 Court Street
Sioux City, IA 51101-1919
Phone (712) 252-3871

Other names 1

  • Danika Leigh Dahlberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825003175 IA Practitioner - Nurse Practitioner 1951728799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Siouxland Mental Health Services IncGroup PAC ID 4688575251, 30 clinicians

Practice addresses (Care Compare)

625 Court St
Sioux City, IA 51101-1919
Phone (712) 252-3871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G160179IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siouxland Mental Health Services, Inc. Psychiatric/Mental Health CurrentSince Sep 1, 2020 Accepting new patients

Locations

625 Court St
Sioux City, IA 51101
Phone (712) 252-3871

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1720698335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 COURT STREET",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011919",
            "telephone_number": "712-252-3871",
            "fax_number": "712-252-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COURT STREET",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011919",
            "telephone_number": "712-252-3871",
            "fax_number": "712-252-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DANIKA",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G160179",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G160179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIKA",
            "last_name": "DAHLBERG",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.