DR. TRAVIS D. HANSEN (NPI# 1164558151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164558151 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS D. HANSEN |
| Credential | M.D. |
| Practice Address |
1400 Madison Ave Suite352 Mankato MN 56001-5473 |
| Mailing Address |
1230 E Main St Mankato MN 56001-5066 |
| Practice Telephone | 5076251811 |
| Practice Fax Number | 5076253928 |
| Mailing Telephone | 5076251811 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
56902 | MN | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
#5696 | SD | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
56902 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165464 | Travis Kai Hansen | Student in an Organized Health Care Education/Training Program | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-05-11 |
| Street Address |
1400 MADISON AVE SUITE352 |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-5473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437110640 | Lorraine Jean Griffin | Dermatology | 1400 Madison Ave, Suite 400a, Mankato, MN 56001-5473 | 2006-03-29 |
| 1407415334 | Matthew J Hastreiter | Physical Therapist | 1400 Madison Ave, Mankato, MN 56001-5473 | 2019-06-13 |
| 1447761960 | Shayna Terese Miller | Speech-Language Pathologist | 1400 Madison Ave, Mankato, MN 56001-5473 | 2017-10-24 |
| 1619487899 | Ashley Marie Paul | Physical Therapist | 1400 Madison Ave, Mankato, MN 56001-5473 | 2017-10-02 |
| 1962938761 | Jennifer Jenniges | Counselor | 1400 Madison Ave, Suite 610, Mankato, MN 56001-5473 | 2017-05-11 |
| 1942671664 | Joseph Kann | Occupational Therapist | 1400 Madison Ave, Suite 100aa, Mankato, MN 56001-5473 | 2015-10-08 |
| 1881072254 | Peter Joseph Seiler | Psychiatry & Neurology | 1400 Madison Ave, Mankato, MN 56001-5473 | 2015-05-18 |
| 1518350982 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 1400 Madison Ave, Suite 402, Mankato, MN 56001-5473 | 2015-03-10 |
| 1043618564 | Lindsay Boettger | Counselor | 1400 Madison Ave, Suite 628, Mankato, MN 56001-5473 | 2014-12-16 |
| 1841601655 | Mischa Antin Tursich | Psychologist | 1400 Madison Ave, Suite 352, Mankato, MN 56001-5473 | 2014-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945180 | Pathways Autism Center LLC | Psychiatry & Neurology | 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 | 2019-10-31 |
| 1841514734 | Sara Jean Polley | Psychiatry & Neurology | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2010-03-21 |
| 1356597041 | Wei Guan | Psychiatry & Neurology | 3800 Park Nicollet Blvd Ste 650, St Louis Park, MN 55416-2527 | 2008-08-13 |
| 1831357219 | Lawrence John Young Jr. | Psychiatry & Neurology | 800 E 28th St, Ste. 600, Wasie Bldg., Minneapolis, MN 55407-3723 | 2008-06-02 |
| 1396885646 | Muhammad Waqar Azeem | Psychiatry & Neurology | 11705 State Ave, Brainerd, MN 56401-7307 | 2007-02-07 |
| 1295894269 | Roy Dewayne Hankins | Psychiatry & Neurology | 2558 271 Ave, Madison, MN 56256 | 2006-12-06 |
| 1548345655 | Anupama Chauhan | Psychiatry & Neurology | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2006-10-26 |
| 1891884326 | Highland Psychiatric Services Pa | Psychiatry & Neurology | 897 St Paul Ave, St Paul, MN 55116 | 2006-10-12 |
| 1427144815 | Adam Fox | Psychiatry & Neurology | 15 Groveland Ter Ste 201, Minneapolis, MN 55403-1154 | 2006-10-05 |
| 1831280635 | Jacob Kerbeshian | Psychiatry & Neurology | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2006-09-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. TRAVIS D. 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.