KATHRYN M HANSEN (NPI# 1346260452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346260452 |
| Entity Type | Individual |
| Full Name | KATHRYN M HANSEN |
| Credential | M.D. |
| Practice Address |
200 Copeland Dr Mansfield MA 02048-1225 |
| Practice Telephone | 5083394144 |
| Practice Fax Number | 5082619940 |
| Mailing Telephone | 5083394144 |
| Mailing Fax Number | 5082619940 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 227930 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 494762 | 01 |
| MA | BMC HEALTHNET | 000000033330 | 01 |
| MA | HPHC | AA62514 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023526456 | Kathryn Hansen | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2018-01-19 |
| 1144775727 | Kathryn Hansen | Behavioral Analyst | 1240 116th Ave Ne, Suite 102, Bellevue, WA 98004-3815 | 2016-08-24 |
| 1720442254 | Kathryn Hansen | Counselor | 22605 Se 56th St Ste 150, Issaquah, WA 98029-5212 | 2016-04-11 |
| 1346643632 | Kathryn Hansen | Counselor | 1170 Pearl St, Eugene, OR 97401-3541 | 2014-10-01 |
| 1467752758 | Kathryn Hansen | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-1042 | 2010-11-02 |
| 1437324290 | Kathryn Sue Hansen | Occupational Therapist | 1100 Commerce Dr, Suite 114, Racine, WI 53406-3700 | 2008-04-23 |
| 1770659518 | Kathryn Kay Hansen | Dermatology | 175 Commons Loop, Ste 300, Kalispell, MT 59901 | 2006-11-24 |
| 1700977139 | Kathryn A Hansen | Nurse Practitioner | 1201 Seven Locks Rd, Suite 111, Rockville, MD 20854-2957 | 2006-09-28 |
| Street Address |
200 COPELAND DR |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548243587 | Mark T Bright | Family Medicine | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2005-11-23 |
| 1801203799 | Laura Falkiewicz | Nurse Practitioner | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2014-07-13 |
| 1124448428 | Beth H Dombrowski | Registered Nurse | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2014-04-24 |
| 1790939890 | Tobi E. Bloomwald | Social Worker | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2008-11-17 |
| 1972606432 | Christine A. Mullaney | Physician Assistant | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-09-07 |
| 1801998299 | Katherine A Mandigo | Nurse Practitioner | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-09-05 |
| 1639287352 | Lisa M. Mitchell | Physician Assistant | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-08-25 |
| 1215041975 | Sreekala Vasudevan | Internal Medicine | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-08-19 |
| 1194730523 | Scot E Sallaway | Physician Assistant | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-07-31 |
| 1922021229 | John Shaver | Internal Medicine | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1891055117 | Rebecca J Nduaguba | Pediatrics | 1029 S Trimble Rd, Mansfield, OH 44906-3427 | 2012-05-21 |
| 1396952263 | Erin Elizabeth Wallace | Pediatrics | 252 Matlock Rd Ste 330, Mansfield, TX 76063-4294 | 2007-05-17 |
| 1992917702 | Arlington Physicians, P.a. | Pediatrics | 706 Hunters Row Ct, Mansfield, TX 76063-4001 | 2007-05-04 |
| 1497892061 | Chandra R. Shaker | Pediatrics | 120 Sturges Ave Ste 1, Mansfield, OH 44903-2399 | 2007-01-31 |
| 1275689788 | Colleen J Mckinney | Pediatrics | 540 S Trimble Rd, Mansfield, OH 44906-3418 | 2007-01-26 |
| 1811096696 | Gretchen R Prater | Pediatrics | 2140 Fm 157 North, Mansfield, TX 76063-4847 | 2006-09-21 |
| 1235245895 | Linda K Phan | Pediatrics | 252 Matlock Rd Ste 300, Mansfield, TX 76063-4294 | 2006-08-23 |
| 1376550244 | Marcia T Sampson Md Pa | Pediatrics | 2140 Fm 157 N, Mansfield, TX 76031 | 2006-08-02 |
| 1407821655 | Kerstin Ann Archer | Pediatrics | 2140 Highway 157 N, Mansfield, TX 76063-4847 | 2006-02-21 |
| Find all providers in MANSFIELD | ||||
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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.