Individual provider Active NPI

Emily J Hansen

  • Home Health Registered Nurse
  • Palmer Lake, CO
National Provider Identifier
1962074179
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN.1638315 Issued in CO
Practice address
755 Highway 105 Ste D
Palmer Lake, CO 80133-8902
Phone
(719) 235-3504
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN.1638315 CO
Home Health Registered Nurse 163WH0200X RN.1638315 CO Primary

Addresses

Primary practice location

755 Highway 105 Ste D
Palmer Lake, CO 80133-8902

Mailing address

7856 Morning Dew Rd
Colorado Springs, CO 80908-5637
Phone (719) 235-3504

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.aspire-365.com

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

LicenseStateTypeSpecialty
RN.1638315COMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Joyvida LLC CurrentSince Jul 25, 2021 Accepting new patients

Locations

755 Highway 105
Ste D
Palmer Lake, CO 80133
Phone (719) 235-3504

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1962074179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7856 MORNING DEW RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809085637",
            "telephone_number": "719-235-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 HIGHWAY 105 STE D",
            "city": "PALMER LAKE",
            "state": "CO",
            "postal_code": "801338902",
            "telephone_number": "719-235-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "EMILY",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "RN.1638315",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CO",
            "license": "RN.1638315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.aspire-365.com",
            "affiliation": "N",
            "address_1": "755 Highway 105 Ste D",
            "city": "Palmer Lake",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801338902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmer Lake, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.