Kathleen Hansen, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

966355 Issued in CA

Practice address

815 Bay Ave
Suite B
Capitola, CA 95010-2186

Phone

(831) 460-7333

NPI assigned

Oct 1, 2010

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

Other identifiers 1

Other names 1

• Kathleen Lang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1811206378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 BAY AVE",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102186",
            "telephone_number": "831-458-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BAY AVE",
            "address_2": "SUITE B",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102186",
            "telephone_number": "831-460-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KATHLEEN",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "966355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PPIN",
            "identifier": "ED933Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "LANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• America Gutierrez
• Jesse Alan Halbleib, DDS
• David Hall, D.D.S.
• Hand Therapy Capitola
• Bruce Leonard Handloff, D.C.
• Harmony Audiology Services and Solutions, Inc.
• William Hart, M.D.
• Katie Hartman
• Harvey J Markovitz DC, a Professional Corporation
• Kevin J Hasenauer, M.D.

• Registered Dietitian in Capitola, CA
• Providers in Capitola, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.