Brooke Hansen, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

52709633102 Issued in UT

Practice address

3944 S 400 E
Salt Lake City, UT 84107-1600

Phone

(801) 743-1715

NPI assigned

Jul 11, 2012

Last updated

Jul 11, 2012By the provider in NPPES

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

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

• Valley Mental Health

  • Mental Illness Community Based Residential Treatment Facility
  • Salt Lake City, UT
  • NPI 1467717918
  Authorized official Same address or phone

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1912262270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 S 400 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071600",
            "telephone_number": "801-743-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 S 400 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071600",
            "telephone_number": "801-743-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "BROOKE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "52709633102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Thomas Hansen, M.D.
• Ashlee Hansen
• Ashley Lena Hansen
• Brenna Hansen
• Brentton Brentton Hansen
• Brooke Lane Hansen, MD
• Brooklyn Hansen
• C David Hansen, M.D.
• Carolyn Jo Hansen, LCSW
• Chad Hansen

• Registered Nurse in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.