Paul Lynn Hansen, ATR

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1192 Issued in MN

Practice address

1107 Hart Blvd Ste 10
Monticello, MN 55362-8539

Phone

(763) 271-6865

Fax

(763) 271-6860

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932259058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9571 GILLARD AVE NE",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628695",
            "telephone_number": "763-295-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 HART BLVD STE 10",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628539",
            "telephone_number": "763-271-6865",
            "fax_number": "763-271-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "PAUL",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "ATR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Sybilla Hadley
• Mya Lynn Hallen
• Jason S Halvorson, MD
• Jamie Hammerbeck, M.D.
• Hope Hansen, NP
• Eric Gordon Hanson, DPT
• Gary Morris Hanson, CRNA
• Elaine Donna Happ, OD
• Thomas Hawkins, MA
• Kristin Deneille Hazeman, DNP, APRN, CNM

• Athletic Trainer in Monticello, MN
• Providers in Monticello, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.