Individual provider Active NPI

Michelle Ann Hanson, MA,RD,LD

  • Registered Dietitian
  • Hudson, WI
National Provider Identifier
1982838843
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2246 Issued in MN
Practice address
716 Vine St
Hudson, WI 54016-1725
Phone
(507) 581-3988
Fax
(715) 808-8362
NPI assigned
May 6, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2246 MN Primary

Addresses

Primary practice location

716 Vine St
Hudson, WI 54016-1725

Mailing address

716 Vine St
Hudson, WI 54016-1725
Phone (507) 581-3988

Other practice location 1

926 S Park St
Red Wing, MN 55066-3444
Phone (507) 581-3988

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2246MNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982838843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 VINE ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161725",
            "telephone_number": "507-581-3988",
            "fax_number": "715-808-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 VINE ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161725",
            "telephone_number": "507-581-3988",
            "fax_number": "715-808-8362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 S Park St",
            "address_purpose": "LOCATION",
            "city": "Red Wing",
            "state": "MN",
            "postal_code": "550663444",
            "country_code": "US",
            "telephone_number": "507-581-3988",
            "fax_number": "651-388-7605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA,RD,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "2246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.