Active NPI
Katelyn Austin Hanson, DO
- Internal Medicine Physician
- Portsmouth, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24102
- Practice address
- 333 Borthwick Ave Ste 100
Portsmouth, NH 03801-4198 - Phone
- (603) 436-5100
- NPI assigned
- May 30, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24102 | NH | Primary |
| Emergency Medicine Physician | 207P00000X | OS019889 | PA |
Addresses
Primary practice location
333 Borthwick Ave Ste 100
Portsmouth, NH 03801-4198
Mailing address
333 Borthwick Ave Ste 100
Portsmouth, NH 03801-4198
Phone (603) 436-5100
Other practice location 1
10800 Knights Rd
Philadelphia, PA 19114-4299
Phone (215) 612-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 Borthwick Ave
Portsmouth, NH 03801-4198
Phone (603) 436-5110
Hospital & facility affiliations
- Portsmouth Regional Hospital
- Frisbie Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intensive Care Consortium Inc | Current | Accepting new patients | |
| Emergency Medicine Services of NH, LLC | Emergency Medicine | Current | Accepting new patients |
| HCA Health Services of New Hampshire Inc | Past | Accepting new patients |
Locations
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907
11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Derry, NH
- NPI 1386341444
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, NH
- NPI 1689215030
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1861920209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 BORTHWICK AVE STE 100",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014198",
"telephone_number": "603-436-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 BORTHWICK AVE STE 100",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014198",
"telephone_number": "603-436-5100"
}
],
"practiceLocations": [
{
"address_1": "10800 Knights Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191144299",
"country_code": "US",
"telephone_number": "215-612-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSON",
"first_name": "KATELYN",
"middle_name": "AUSTIN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-30",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "24102",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS019889",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.