ROXANNE M. HANSON (NPI# 1508223074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508223074 |
| Entity Type | Individual |
| Full Name | ROXANNE M. HANSON |
| Credential | P.A. |
| Practice Address |
6000 Earle Brown Dr Brooklyn Center MN 55430-2506 |
| Mailing Address |
8170 33rd Ave S # Ms 21110q Bloomington MN 55425-4516 |
| Practice Telephone | 9529934900 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5435 Feltl Rd, Emergency Physicians, P.a., Minnetonka, MN 553437983 | 9528359880 | 9528571554 |
| Street Address |
6000 EARLE BROWN DR |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033193156 | Mark Depaolis | Family Medicine | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 2005-12-01 |
| 1104351584 | Katherine Swanson | Family Medicine | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 2017-04-24 |
| 1780061051 | Jennifer Barnes Manning | Family Medicine | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 2015-05-06 |
| 1609281757 | Alexandra Oleinik | Family Medicine | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 2014-06-27 |
| 1396156667 | Camille Delisi | Family Medicine | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 2014-05-08 |
| 1336585827 | Sarah Ann Jeffrey | Nurse Practitioner | 6000 Earle Brown Dr, Internal Medicine, Brooklyn Center, MN 55430-2506 | 2013-05-11 |
| 1568807527 | Garrett Michael Jones | Pediatrics | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 2013-05-05 |
| 1215285747 | Kathryn Claire Schulz | Nurse Practitioner | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 2012-08-15 |
| 1205128048 | Stephanie Ann Devine | Pharmacist | 6000 Earle Brown Dr, Pharmacy, Brooklyn Center, MN 55430-2506 | 2011-05-12 |
| 1568769446 | Melissa Ann Schellenberg | Pharmacist | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 2011-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891767083 | Brenda Jj Talarico | Physician Assistant | 6845 Lee Ave N, Mail Stop 31400a, Brooklyn Center, MN 55429-1717 | 2006-02-02 |
| 1588138770 | Tammy M Danielson | Physician Assistant | 5615 Xerxes Ave N, Brooklyn Center, MN 55430 | 2019-01-22 |
| 1780067553 | Andrew Smith | Physician Assistant | 5701 Shingle Creek Pkwy, Suite 612, Brooklyn Center, MN 55430-2467 | 2015-06-29 |
| 1891856050 | Elizabeth A Rahberg | Physician Assistant | 5415 Brooklyn Blvd, Brooklyn Center, MN 55429-3359 | 2006-12-12 |
| 1366426041 | Karen M Klein | Physician Assistant | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
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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.