KENDRA L HANSEN (NPI# 1790774545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790774545 |
| Entity Type | Individual |
| Full Name | KENDRA L HANSEN |
| Credential | PA-C |
| Practice Address |
3920 Capitol Mall Dr Sw Suite 400 Olympia WA 98502-8700 |
| Practice Telephone | 3607051259 |
| Practice Fax Number | 3607052757 |
| Mailing Telephone | 3607051259 |
| Mailing Fax Number | 3607052757 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | PA10003920 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEA | MG0313685 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134230766 | Kendra G Hansen | Nurse Practitioner | 500 N Wall St, Kankakee, IL 60901 | 2006-08-31 |
| Street Address |
3920 CAPITOL MALL DR SW SUITE 400 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007848 | Austin C Lampert | Internal Medicine | 3920 Capitol Mall Dr Sw, Ste 308, Olympia, WA 98502-8701 | 2005-07-21 |
| 1568728509 | Laboratory Corporation of America | Clinical Medical Laboratory | 3920 Capitol Mall Dr Sw, Suite 100, Olympia, WA 98502-8700 | 2012-04-04 |
| 1073716262 | Respiratory Physicians of Southwest Washington | Specialist | 3920 Capitol Mall Dr Sw, Ste 304, Olympia, WA 98502-8700 | 2007-06-06 |
| 1821101197 | Olympia Multi-specialty Clinic Ambulatory Procedures Cntr Pllc | Specialist | 3920 Capitol Mall Dr Sw, Suite 300, Olympia, WA 98502-8700 | 2006-08-17 |
| 1114957875 | Northwest Surgical Group PC | Specialist | 3920 Capitol Mall Dr Sw, Suite 201, Olympia, WA 98502-8700 | 2006-07-05 |
| 1154351807 | Advanced Breast Techonology | Specialist | 3920 Capitol Mall Dr Sw, #100, Olympia, WA 98502-8700 | 2006-07-04 |
| 1700830064 | William Clarence Williard | Specialist | 3920 Capitol Mall Dr Sw, Suite 201, Olympia, WA 98502-8700 | 2006-05-20 |
| 1336198118 | David Michael Deitz | Surgery | 3920 Capitol Mall Dr Sw, Suite 302, Olympia, WA 98502-8700 | 2006-05-09 |
| 1104815950 | Laurel A Dickason | Obstetrics & Gynecology | 3920 Capitol Mall Dr Sw, Ste 400, Olympia, WA 98502-8700 | 2005-10-14 |
| 1588653398 | Debra A Johnson | Obstetrics & Gynecology | 3920 Capitol Mall Dr Sw, Ste 400, Olympia, WA 98502-8700 | 2005-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215079850 | Bina Chhabra Souri | Obstetrics & Gynecology | 403c Black Hills Lane Sw, Olympia, WA 98502 | 2007-02-12 |
| 1851313753 | Marilyn D Gage | Obstetrics & Gynecology | 3516 Surrey Dr Ne, Olympia, WA 98506-3627 | 2006-07-23 |
| 1730110446 | Anita Jar Yu Chin | Obstetrics & Gynecology | 615 Lilly Rd Ne Ste 200, Olympia, WA 98506 | 2006-07-05 |
| 1679548341 | Amy L. O'boyle | Obstetrics & Gynecology | 149 Lilly Rd Ne, Olympia, WA 98506-5028 | 2006-02-17 |
| 1699764464 | Heather K Jurow | Obstetrics & Gynecology | 615 Lilly Dr Ne, Suite 200, Olympia, WA 98506-4658 | 2005-10-14 |
| 1205223997 | Laura R Hanks | Obstetrics & Gynecology | 615 Lilly Rd Ne Ste 200, Olympia, WA 98506 | 2015-04-20 |
| 1942636493 | Sarah Christine Villegas | Obstetrics & Gynecology | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2013-09-16 |
| 1962750588 | Bina Souri Md Ps | Obstetrics & Gynecology | 403 Black Hills Ln Sw, Suite C, Olympia, WA 98502-8600 | 2012-08-29 |
| 1184910861 | Puneet Bhullar | Obstetrics & Gynecology | 615 Lilly Rd Ne Ste 200, Olympia, WA 98506 | 2011-06-21 |
| 1881902823 | Jessica Nicole Barker | Obstetrics & Gynecology | 3920 Capital Mall Dr Sw, Suite 400, Olympia, WA 98502 | 2010-09-23 |
| Find all providers in OLYMPIA | ||||
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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.