Kimm Gloria Hanson

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

License

11133 Issued in AZ

Practice address

2490 W Yowell CT Unit 49
Yuma, AZ 85364-1735

Phone

(928) 539-9298

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730242769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 W YOWELL CT UNIT 49",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641735",
            "telephone_number": "928-539-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 W YOWELL CT UNIT 49",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641735",
            "telephone_number": "928-539-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KIMM",
        "middle_name": "GLORIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "11133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085948",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Charles Haney, D.D.S
• Hanger Prosthetics & Orthotics West Inc
• Rima Hanhan, MES, HN, CHP, CHC,
• April Louise Hann, FNP-BC
• Scott Reed Hannon, DDS
• Harborcove Health
• Emily Hardin
• Melissa Marie Hare, NP
• Kimberly Harken, NP-C
• Tami J Harmon, PAC

• Child Mental Illness Respite Care in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Child Mental Illness Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.