BROOKE HANSEN (NPI# 1033591805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033591805 |
| Entity Type | Individual |
| Full Name | BROOKE HANSEN |
| Credential | PA-C |
| Practice Address |
418 Washington St Lakeview MI 48850-7102 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 9893526474 |
| Practice Fax Number | 9893528451 |
| Mailing Telephone | 6164866790 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2016-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007354 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104117704 | Brooke Rutland Hansen | Behavioral Analyst | 1787 Ne 21st St, Fort Lauderdale, FL 33305-3240 | 2011-04-29 |
| 1891262465 | Brooke Nicole Hansen | Counselor | 107 S Division St, Spokane, WA 99202-1510 | 2018-10-31 |
| 1821504382 | Brooke Hansen | Psychologist | 8700 E 29th St N, Wichita, KS 67226-2169 | 2017-12-20 |
| 1477942274 | Brooke Kristine Hansen | Speech-Language Pathologist | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2015-01-16 |
| 1912262270 | Brooke Hansen | Registered Nurse | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2012-07-11 |
| 1467778548 | Brooke Lane Hansen | Obstetrics & Gynecology | 370 E 9th Ave Ste 205, Salt Lake City, UT 84103-3184 | 2010-04-14 |
| Street Address |
418 WASHINGTON ST |
| City | LAKEVIEW |
| State | MI |
| Zip Code | 48850-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568965184 | Samantha Varner | Occupational Therapist | 418 Washington St, Lakeview, MI 48850-7102 | 2018-03-09 |
| 1669974465 | Ryan William Norris | Physical Therapist | 418 Washington St, Lakeview, MI 48850-7102 | 2018-03-07 |
| 1679023964 | Sarah Rose Vanderhoof | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2016-10-11 |
| 1780057877 | Tangela Ann Zielinski | Social Worker | 418 Washington St, Lakeview, MI 48850-7102 | 2015-11-11 |
| 1659748259 | Melissa Joye Wilson | Nurse Practitioner | 418 Washington St, Lakeview, MI 48850-7102 | 2015-08-31 |
| 1710369186 | Trina Hara | Family Medicine | 418 Washington St, Lakeview, MI 48850 | 2015-06-22 |
| 1710364054 | Spectrum Health Kelsey Hosp | Non-Pharmacy Dispensing Site | 418 Washington St, Lakeview, MI 48850-7102 | 2015-05-06 |
| 1760875918 | Spectrum Health United | Social Worker | 418 Washington St, Lakeview, MI 48850-7102 | 2015-03-12 |
| 1437548542 | Denise Joy Docter | Social Worker | 418 Washington St, Lakeview, MI 48850-7102 | 2015-01-13 |
| 1245630698 | Lora Rose Hansen | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2014-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679110308 | Julie Ann Smith | Pharmacist | 9695 N Greenville Road, Lakeview, MI 48850 | 2019-12-02 |
| 1891856217 | William James Winget | Dentist | 924 S Lincoln Ave, Lakeview, MI 48850 | 2006-12-12 |
| 1831105618 | Health Visions Quest, Inc. | Physician Assistant | 332 S Lincoln Street, Lakeview, MI 48850 | 2006-07-31 |
| 1891714879 | Robert Nixon Huttinga | Physician Assistant | 332 S. Lincoln, Lakeview, MI 48850 | 2006-07-19 |
| 1336114727 | Har Swarup | General Practice | 313 Lincoln Street, Lakeview, MI 48850 | 2006-02-21 |
| 1124448634 | Naturally Simple, LLC | Advanced Practice Midwife | 332 S Lincoln Ave, Lakeview, MI 48850 | 2014-04-23 |
| 1902941057 | Spectrum Health Kelsey | Personal Emergency Response Attendant | 418 Washington Ave, Lakeview, MI 48850 | 2007-02-20 |
| 1871643809 | James Vernon Draper | Dentist | 924 S Lincoln Ave, Lakeview, MI 48850 | 2007-01-11 |
| 1265548689 | Harry Keith Treiber | Dentist | 412 Lincoln Ave., Lakeview, MI 48850-0080 | 2006-08-21 |
| 1467566752 | H. Keith Treiber Dds Family Dentistry PC | Dentist | 412 Lincoln Ave, Lakeview, MI 48850-0080 | 2006-08-17 |
| Find all providers in zip 48850 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831105618 | Health Visions Quest, Inc. | Physician Assistant | 332 S Lincoln Street, Lakeview, MI 48850 | 2006-07-31 |
| 1891714879 | Robert Nixon Huttinga | Physician Assistant | 332 S. Lincoln, Lakeview, MI 48850 | 2006-07-19 |
| 1679023964 | Sarah Rose Vanderhoof | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2016-10-11 |
| 1245630698 | Lora Rose Hansen | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2014-09-03 |
| 1821428442 | Erin Danielle Steward | Physician Assistant | 700 S J St, Lakeview, OR 97630-1623 | 2013-11-18 |
| 1396024832 | Michele M Vuillemot | Physician Assistant | 418 Washington St, Lakeview, MI 48850-9806 | 2011-08-16 |
| 1700075181 | Michele Leigh Miles | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2007-10-22 |
| 1851513097 | William J Heath | Physician Assistant | 418 Washington Ave, Lakeview, MI 48850-9806 | 2007-05-03 |
| 1629004619 | Kathleen J. Thompson | Physician Assistant | 624 S J St, Lakeview, OR 97630-1680 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BROOKE HANSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.