Active NPI
Stephanie Nicole Hansen, NP
- Family Nurse Practitioner
- Omaha, NE
National Provider Identifier
1801307780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 112349
- Practice address
- 17645 Wright St
Omaha, NE 68130-2034 - Phone
- (308) 300-5557
- NPI assigned
- Oct 18, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 112349 | NE | Primary |
Addresses
Primary practice location
17645 Wright St
Omaha, NE 68130-2034
Mailing address
17645 Wright St
Omaha, NE 68130-2034
Phone (308) 300-5557
Other practice location 1
5566 S 56th St
Lincoln, NE 68516-1834
Phone (402) 423-3839
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": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1801307780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17645 WRIGHT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302034",
"telephone_number": "308-300-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17645 WRIGHT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302034",
"telephone_number": "308-300-5557"
}
],
"practiceLocations": [
{
"address_1": "5566 S 56th St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685161834",
"country_code": "US",
"telephone_number": "402-423-3839",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "112349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.