TRACY LYNN HANSEN (NPI# 1720560089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720560089 |
| Entity Type | Individual |
| Full Name | TRACY LYNN HANSEN |
| Credential | APRN, FNP |
| Practice Address |
2040 Juniper Ave Slayton MN 56172-1017 |
| Mailing Address |
2228 151st St Currie MN 56123-1025 |
| Practice Telephone | 5078361352 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6155 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861938128 | Tracy Hansen | Counselor | 3309 Fiechtner Dr S Ste H, Fargo, ND 58103-2375 | 2017-01-11 |
| 1326494576 | Tracy Hansen | Internal Medicine | 4212 Ne Broadway, Portland, OR 97213 | 2016-05-06 |
| 1689897316 | Tracy Hansen | Case Manager/Care Coordinator | 575 East 100 South, Price, UT 84501 | 2007-04-11 |
| 1851449391 | Tracy Ann Hansen | Marriage & Family Therapist | 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 | 2007-01-08 |
| Street Address |
2040 JUNIPER AVE |
| City | SLAYTON |
| State | MN |
| Zip Code | 56172-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202403 | Stacy Wahl Slettum | Nurse Practitioner | 2040 Juniper Ave, Slayton, MN 56172-1017 | 2005-08-15 |
| 1679565287 | County of Murray | Clinic/Center | 2040 Juniper Ave, Slayton, MN 56172-1017 | 2005-08-19 |
| 1114929577 | Lesli I Kramer | Physician Assistant | 2040 Juniper Ave, Slayton, MN 56172-1017 | 2005-08-15 |
| 1518969070 | Daniel R Woldt | Physician Assistant | 2040 Juniper Ave, Slayton, MN 56172-1017 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023454873 | Rachel Isder | Registered Nurse | 3001 Maple Road, Slayton, MN 56172 | 2013-05-21 |
| 1184785024 | Prairie View | Intermediate Care Facility, Mentally Retarded | 2220 27th St, Slayton, MN 56172 | 2006-12-13 |
| 1770778540 | Brian A Chabot | Physician Assistant | 2042 Juniper Ave, Slayton, MN 56172 | 2007-09-13 |
| 1588778658 | Anthony C Nwakama | Orthopaedic Surgery | 2331 20th St, Slayton, MN 56172-1004 | 2006-08-18 |
| 1083967244 | Connect Hearing, Inc. | Audiologist | 2331 20th St, Slayton, MN 56172-1004 | 2012-10-24 |
| 1083778021 | Southwest Minnesota Orthopedics and Sports Medicine, Inc. | Orthopaedic Surgery | 2331 20th St, Slayton, MN 56172-1004 | 2006-12-21 |
| 1245677590 | Sltn Pharmacy Services, Ltd. | Pharmacy | 2010 Juniper Ave, Slayton, MN 56172-1017 | 2013-05-28 |
| 1053497214 | County of Murray | General Acute Care Hospital | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2006-10-31 |
| 1386121028 | Cara Rae Mahon | Pharmacist | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2018-07-25 |
| 1881112613 | Paige M Freeman | Physician Assistant | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2017-08-31 |
| Find all providers in zip 56172 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093345571 | Naomi Joy Samuelson | Nurse Practitioner | 34 Pleasant View Rd, Slayton, MN 56172-1933 | 2020-01-23 |
| 1942202403 | Stacy Wahl Slettum | Nurse Practitioner | 2040 Juniper Ave, Slayton, MN 56172-1017 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.