BRENT HANSON (NPI# 1861945743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861945743 |
| Entity Type | Individual |
| Full Name | BRENT HANSON |
| Credential | MSN, CNP, PMHNP-BC |
| Practice Address |
1401 E 1st St Duluth MN 55805-2407 |
| Practice Telephone | 2187284491 |
| Practice Fax Number | 2187302367 |
| Mailing Telephone | 2187284491 |
| Mailing Fax Number | 2187302367 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R190864-8 | MN | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP4747 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790191542 | Brent Hanson | Obstetrics & Gynecology | 3300 Gallows Rd, Ob Gyn Department, Falls Church, VA 22042-3307 | 2014-07-01 |
| 1437560703 | Brent Hanson | Family Medicine | 500 Jefferson Blvd Ste B180, West Sacramento, CA 95605 | 2014-05-08 |
| Street Address |
1401 E 1ST ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194790733 | Human Development Center | Counselor | 1401 E 1st St, Duluth, MN 55805-2407 | 2006-02-17 |
| 1245755107 | Phoenix Lyn Black Walker | Counselor | 1401 E 1st St, Duluth, MN 55805-2407 | 2017-08-11 |
| 1700239571 | Deborah Hernandez | Community Health Worker | 1401 E 1st St, Duluth, MN 55805-2407 | 2016-07-18 |
| 1801246061 | Rachel Leigh Phillips | Counselor | 1401 E 1st St, Duluth, MN 55805 | 2016-06-20 |
| 1902261654 | Molly Smith | Social Worker | 1401 E 1st St, Duluth, MN 55805-2407 | 2015-12-23 |
| 1255716817 | Allison Hill | Nurse Practitioner | 1401 E 1st St, Duluth, MN 55805-2407 | 2015-07-24 |
| 1821339177 | Angela Tonee Marino | Social Worker | 1401 E 1st St, Duluth, MN 55805-2407 | 2013-03-12 |
| 1205195294 | Timothy R Walters | Counselor | 1401 E 1st St, Duluth, MN 55805-2407 | 2012-05-10 |
| 1255698205 | Scott Kenneth Johnson | Social Worker | 1401 E 1st St, Duluth, MN 55805-2407 | 2012-04-16 |
| 1003182643 | Jill Lockwood | Registered Nurse | 1401 E 1st St, Duluth, MN 55805-2407 | 2012-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831737501 | Farah Rahim | Nurse Practitioner | 3305 Breckinridge Blvd, Duluth, GA 30096-4932 | 2019-12-12 |
| 1699311787 | Sharon Mclean | Nurse Practitioner | 3843 Meeting St, Duluth, GA 30096-4816 | 2019-11-23 |
| 1710505680 | Sarah Mcisaac | Nurse Practitioner | 925 E Superior St Ste 113, Duluth, MN 55802-2253 | 2020-07-08 |
| 1780201657 | Alyssa Dye | Nurse Practitioner | 615 Pecan Ave, Duluth, MN 55811-2749 | 2020-06-26 |
| 1386260370 | Heidi A Greifzu | Nurse Practitioner | 502 E 2nd St, Duluth, MN 55805-1913 | 2020-06-25 |
| 1528684446 | Heidi Louise Wendorf | Nurse Practitioner | 1406 E 2nd St, Duluth, MN 55805-2378 | 2020-06-17 |
| 1134772072 | Jessica Marie Johnson | Nurse Practitioner | 220 N 6th Ave E, Duluth, MN 55805 | 2019-07-19 |
| 1003468760 | Molly B Dwyer | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2019-07-12 |
| 1013493345 | Amy Jo Schwab | Nurse Practitioner | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2018-07-19 |
| 1396237764 | Coleen Rose Christensen | Nurse Practitioner | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2018-06-01 |
| Find all providers in DULUTH | ||||
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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.