KELLY A HANSON (NPI# 1982251211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982251211 |
| Entity Type | Individual |
| Full Name | KELLY A HANSON |
| Credential | RN |
| Practice Address |
4502 N Central Ave Phoenix AZ 85012-1817 |
| Practice Telephone | 6027641100 |
| Mailing Telephone | 6027641100 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN094982 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669918983 | Kelly Hanson | Counselor | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2017-01-10 |
| 1750736252 | Kelly Christine Hanson | Internal Medicine | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2016-05-03 |
| 1821479098 | Kelly Ann Hanson | Nurse Practitioner | 2309 E Evesham Rd, Suite 201, Voorhees, NJ 08043-1559 | 2015-06-14 |
| 1215324975 | Kelly Hanson | Counselor | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 | 2015-04-21 |
| 1346538451 | Kelly Hanson | Case Manager/Care Coordinator | 304 West St, Tonganoxie, KS 66086-9714 | 2011-07-11 |
| 1376776146 | Kelly Hanson | Registered Nurse | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2009-08-27 |
| Street Address |
4502 N CENTRAL AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578676276 | Joan Ilene Davis | Specialist | 4502 N Central Ave, Phoenix, AZ 85012-1817 | 2006-08-16 |
| 1093374829 | Tess Alexandria Grigsby | Speech-Language Pathologist | 4502 N Central Ave, Phoenix, AZ 85012-1817 | 2019-06-05 |
| 1992285043 | Cristina Coronado | Registered Nurse | 4502 N Central Ave, Phoenix, AZ 85012-1817 | 2018-08-17 |
| 1831617182 | Thomas Lynn Quigg | Registered Nurse | 4502 N Central Ave, Phoenix, AZ 85012-1817 | 2017-09-07 |
| 1619495975 | Carolann Bisbano | Registered Nurse | 4502 N Central Ave, Phoenix, AZ 85012-1817 | 2017-09-06 |
| 1255858072 | Orchid M Lopez | Registered Nurse | 4502 N Central Ave, Phoenix, AZ 85012-1817 | 2017-08-23 |
| 1407265713 | Phoenix Union High School District | Nursing Care | 4502 N Central Ave, Phoenix, AZ 85012-1817 | 2014-08-12 |
| 1316361322 | Joseph John Meade IIi | Social Worker | 4502 N Central Ave, Phoenix, AZ 85012-1817 | 2014-02-11 |
| 1326349531 | Camara Lynn Taylor | Social Worker | 4502 N Central Ave, Phoenix, AZ 85012-1817 | 2010-11-04 |
| 1316248628 | Carolyn Gooden-spearman | Licensed Practical Nurse | 4502 N Central Ave, Phoenix, AZ 85012-1817 | 2010-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235602699 | Sharon Gasch | Registered Nurse | 3905 E Monte Cristo Ave, Phoenix, AZ 85032-4065 | 2019-01-09 |
| 1477024461 | Rosie Higuera | Registered Nurse | 7731 W Flower St, Phoenix, AZ 85033-4944 | 2018-12-17 |
| 1588163687 | Alma Cecilia Elizarraraz | Registered Nurse | 1234 E Northern Ave, Phoenix, AZ 85020-4274 | 2018-02-05 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| 1366966434 | Penny L Reamer | Registered Nurse | 17624 N. 31st Ave., Phoenix, AZ 85053 | 2017-08-01 |
| 1790150084 | Jennifer Fuller | Registered Nurse | 9618 N 36th St, Phoenix, AZ 85028-4938 | 2015-12-11 |
| 1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
| 1598161416 | Elise Corriveau | Registered Nurse | 1611 W Fillmore St, Phoenix, AZ 85007-2214 | 2014-11-05 |
| 1356740088 | Soledad Villalobos | Registered Nurse | 14238 N 34th Way, Phoenix, AZ 85032-5340 | 2014-08-19 |
| 1982003034 | Staci Motley | Registered Nurse | 7150 N 22nd St, Phoenix, AZ 85020-5605 | 2014-08-14 |
| Find all providers in PHOENIX | ||||
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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.