Bobbijo Ellen Hanson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2369419 Issued in MN

Practice address

807 Cloquet Ave
Cloquet, MN 55720-1675

Phone

(218) 879-2035

NPI assigned

Jun 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Tru Healthcare, Inc.

  • In Home Supportive Care Agency
  • Arden Hills, MN
  • NPI 1982702932
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1740719129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 CLOQUET AVE STE 200",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201675",
            "telephone_number": "218-879-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "BOBBIJO",
        "middle_name": "ELLEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2369419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Gust, RPH
• Stacey Lynn Gutman, M.D.
• Jennifer Susan Hall, RD, LD
• Farrah Halvorson
• Alan Daniel Haney, MSW, LICSW
• Jessica Lynn Hanson
• Angela Mary Hartwig, LICSW
• William O Haug Jr., M.D.
• Haven Chemical Health Systems, LLC
• Havens of Minnesota LLC

• Registered Nurse in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.