Individual provider Active NPI

Vicki Hansen

  • Other Specialist/Technologist
  • Pantego, TX
National Provider Identifier
1982390894
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Practice address
3615 W Pioneer Pkwy
Pantego, TX 76013-4599
Phone
(817) 247-9912
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X Primary

Addresses

Primary practice location

3615 W Pioneer Pkwy
Pantego, TX 76013-4599

Mailing address

3615 W Pioneer Pkwy
Pantego, TX 76013-4599
Phone (817) 247-9912

Other practice location 1

609 Main St
Marble Falls, TX 78654-5143
Phone (817) 247-9912

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki'S Making Faces Specialist/Technologist, Other CurrentSince Apr 30, 2023 Accepting new patients

Locations

3615 W Pioneer Pkwy
Pantego, TX 76013
Phone (817) 247-9912

3615 W Pioneer Pkwy
Ste E
Pantego, TX 76013
Phone (817) 437-0312

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": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1982390894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 W PIONEER PKWY",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134599",
            "telephone_number": "817-247-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 W PIONEER PKWY",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134599",
            "telephone_number": "817-247-9912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Main St",
            "address_purpose": "LOCATION",
            "city": "Marble Falls",
            "state": "TX",
            "postal_code": "786545143",
            "country_code": "US",
            "telephone_number": "817-247-9912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "VICKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pantego, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.