LARAE JEAN HANSEN (NPI# 1184221798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184221798 |
Entity Type | Individual |
Full Name | LARAE JEAN HANSEN |
Credential | MSN, PNP |
Practice Address |
7805 Redondo St Ventura CA 93004-3814 |
Practice Telephone | 8054528436 |
Mailing Telephone | 8054528436 |
Enumeration Date | 2020-10-06 |
Last Update Date | 2020-10-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95015281 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | NP LICENSE | 95015281 | 01 |
Street Address |
7805 REDONDO ST |
City | VENTURA |
State | CA |
Zip Code | 93004-3814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154877181 | April Lacanilao | Licensed Vocational Nurse | 8415 Newtown St., Ventura, CA 93004 | 2016-08-30 |
1447633003 | Fernando Maldonado IIi | Pharmacist | 9308-b Telephone Rd, Ventura, CA 93004 | 2015-07-01 |
1669761532 | Ted Wrablik | Counselor | 9050 Feather Street, Ventura, CA 93004 | 2011-03-31 |
1659689446 | Kathleen Anne Highly | Psychologist | Clinicas Del Camino Real, Incorporated, 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2010-09-15 |
1518283191 | Arturo Alamillo Vargas | Social Worker | 200 S, Wells Rd., Suite 200, Ventura, CA 93004 | 2010-04-08 |
1891929949 | Roxanne Gaggs | Occupational Therapist | 2387 Portola Drive, Suite A, Ventura, CA 93004 | 2009-05-05 |
1760623599 | Colleen Copelan, M.d. Inc | Psychiatry & Neurology | 970 South Petit Ave., Suite A, Ventura, CA 93004 | 2009-03-06 |
1770720401 | Maria G. Hernandez | Social Worker | 200 S. Wells Rd., Suite 250, Clinicas Del Camino Real, Incorporate, Ventura, CA 93004 | 2009-01-16 |
1275725376 | Diane M. Sanchez | Music Therapist | 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2007-08-13 |
1487863643 | Richard Dale Story | Pharmacist | 681 Topeka Ave, Ventura, CA 93004 | 2007-05-22 |
Find all providers in zip 93004 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528463809 | Amy Batcheler | Nurse Practitioner | 3291 Loma Vista Rd, #302, Ventura, CA 93003-3099 | 2014-10-28 |
1164730131 | Michelle Marie Garcia | Nurse Practitioner | 3291 Loma Vista Rd, Ventura, CA 93003-3099 | 2010-09-23 |
1912936113 | Judith Driscoll | Nurse Practitioner | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528668167 | Amber Briana Curry | Nurse Practitioner | 1336 6th Ave, San Francisco, CA 94122-2504 | 2020-10-30 |
1194325092 | Caitlin Pirruccello | Nurse Practitioner | 5400 Balboa Blvd Ste 210, Encino, CA 91316-5208 | 2020-10-29 |
1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
1538774070 | Emily Ruth Schoen | Nurse Practitioner | 110 Calle Balboa, San Clemente, CA 92672-3132 | 2020-09-11 |
1831715770 | Veronica Munoz-rivera I | Nurse Practitioner | 1327 Leopard Ct, Palmdale, CA 93551-4360 | 2020-06-16 |
1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
1053949214 | Gina Louise James | Nurse Practitioner | 124 Stoney Hill Dr, Folsom, CA 95630-4614 | 2020-03-31 |
1831723519 | Patrinella Gonzales | Nurse Practitioner | 81833 Dr Carreon Blvd Ste 6, Indio, CA 92201-5590 | 2020-03-03 |
1104450006 | Anh Ht Nguyen | Nurse Practitioner | 12442 Merrill St, Garden Grove, CA 92840-3840 | 2020-02-28 |
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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.