Active NPI
Jeffrey Hanson, ND
- Naturopath
- South Lake Tahoe, CA
National Provider Identifier
1891068581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND477
- Practice address
- 3121 Harrison Ave
South Lake Tahoe, CA 96150-7925 - Phone
- (530) 307-0164
- Fax
- (530) 452-1576
- NPI assigned
- Feb 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | |||
| Naturopath | 175F00000X | ND477 | CA | Primary |
Addresses
Primary practice location
3121 Harrison Ave
South Lake Tahoe, CA 96150-7925
Mailing address
3121 Harrison Ave
South Lake Tahoe, CA 96150-7925
Phone (530) 307-0164
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND477 | CA | MD | Naturopath |
Interoperability endpoints
- jeff.hanson@944314600521732.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1891068581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 HARRISON AVE",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507925",
"telephone_number": "530-307-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 HARRISON AVE",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507925",
"telephone_number": "530-307-0164",
"fax_number": "530-452-1576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-11",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Lake Tahoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.