EVAN HANSEN (NPI# 1578182978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578182978 |
| Entity Type | Individual |
| Full Name | EVAN HANSEN |
| Practice Address |
518 Tarrow St College Station TX 77840-2104 |
| Mailing Address |
1511 Texas Ave S College Station TX 77840-3328 |
| Practice Telephone | 4026729872 |
| Mailing Telephone | 4026729872 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 36138 | TX | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 518 Tarrow St, College Station, TX 778402104 | 4026729872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033638838 | Evan Hansen | Student in an Organized Health Care Education/Training Program | 5 First Street, Apartment B, Plymouth, NH 03264 | 2017-09-12 |
| 1023440468 | Evan Matthew Hansen | Physical Therapist | 7111 Stephanie Ln, Lincoln, NE 68516-5300 | 2013-08-08 |
| Street Address |
518 TARROW ST |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77840-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780159301 | Caprock Urgent Care, LLC | Clinic/Center | 1289 University Dr. East, College Station, TX 77840 | 2018-10-10 |
| 1629586110 | Cheyenne M Gehring | Specialist/Technologist | 1725 Harvey Mitchell Pkwy S Apt 3331, College Station, TX 77840 | 2018-01-18 |
| 1003321712 | Stephen Whitt | Specialist/Technologist | 756 Houston Street, College Station, TX 77840 | 2017-12-05 |
| 1801314406 | Leanne Pool | Speech-Language Pathologist | 1805 Lawyer Place, College Station, TX 77840 | 2017-09-03 |
| 1376996728 | Joscelyn Trompeter | Specialist/Technologist | 117 Holleman Dr, Apt 8103, College Station, TX 77840 | 2016-07-21 |
| 1104297472 | E Medical Group of College Station, LLC | Home Health | 707 Texas Ave S Ste 100a, College Station, TX 77840 | 2015-10-13 |
| 1780004036 | Magnified Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 1115 Anderson Street, College Station, TX 77840 | 2014-04-24 |
| 1306084140 | Raidah Saleem Al-baradie Sr. | Psychiatry & Neurology | 1800 Holleman Drive, College Station, TX 77840 | 2009-02-02 |
| 1427238484 | Amanda Kallstrom-fuqua | Psychologist | 1600 University Drive, College Station, TX 77840 | 2007-11-07 |
| 1124141973 | William Wayner Daniels | Dentist | 303 A East University Drive, College Station, TX 77840 | 2007-04-09 |
| Find all providers in zip 77840 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634094 | Brianna Mcmanus | Student in an Organized Health Care Education/Training Program | 2010 Legacy Ln, College Station, TX 77840-6363 | 2020-06-24 |
| 1700402062 | Allison Renee Lastrapes | Student in an Organized Health Care Education/Training Program | 301 Southwest Pkwy Apt 341, College Station, TX 77840-5147 | 2020-06-23 |
| 1023670106 | Kohei Jason Takada | Student in an Organized Health Care Education/Training Program | 601 Luther St W Apt 1823b, College Station, TX 77840-2798 | 2019-06-28 |
| 1669033122 | Allison Kraus-saravia | Student in an Organized Health Care Education/Training Program | 2300 Cottage Ln Apt 9314, College Station, TX 77845-2025 | 2019-06-25 |
| 1770064727 | Kourtney Shey Higgins | Student in an Organized Health Care Education/Training Program | 400 Bizzel, College Station, TX 77843-0001 | 2018-08-28 |
| 1669953600 | Michelle K Aguirre | Student in an Organized Health Care Education/Training Program | 2101 Harvey Mitchell Pkwy S Apt 328, College Station, TX 77840-5287 | 2018-08-28 |
| 1083119754 | Unknown Samreen Fatima | Student in an Organized Health Care Education/Training Program | 3250 Barron Rd, College Station, TX 77845-3913 | 2018-03-26 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1669919189 | Alyssa Guerra | Student in an Organized Health Care Education/Training Program | 1331 Harvey Mitchell Pkwy S Apt 406, College Station, TX 77840-6316 | 2017-01-22 |
| 1255878971 | Laura A Willcox | Student in an Organized Health Care Education/Training Program | 3530 Summerway Dr, College Station, TX 77845-7442 | 2017-01-20 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77840 |
Please comment or provide details below to improve the information on EVAN 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.