Shelia M Hansen

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

1614524 Issued in AK

Practice address

500 E Swanson Ave Ste 5
Wasilla, AK 99654-7197

Phone

(907) 373-1000

Fax

(888) 588-5194

NPI assigned

Mar 28, 2018

Last updated

Jun 16, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Su-Valley Care Coordination, LLC

  • Case Management Agency
  • Wasilla, AK
  • NPI 1184030520
  NPD (past)

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1952806283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513",
            "city": "WILLOW",
            "state": "AK",
            "postal_code": "996880513",
            "telephone_number": "907-373-1000",
            "fax_number": "888-588-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E SWANSON AVE STE 5",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547197",
            "telephone_number": "907-373-1000",
            "fax_number": "888-588-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "SHELIA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "1614524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1614524",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleanor Susan Haney, OD
• Hans P. Nordstrom DDS (Nordstrom Family Dental)
• Benjamin Hansen
• Billie Jo Hansen
• Canaan Hansen
• Jessica Hanson, LMT
• Mark Hanson
• Happy Haven Alh 1, LLC
• Harbor Haven Behavioral Health
• Harbor View Manor (Tranquility Manor)

• Case Manager/Care Coordinator in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.