{
"Npi": {
"NPI": "1841841624",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HANSEN",
"FirstName": "EMILY",
"MiddleName": "NICHOLE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PMHNP-BC,ARNP, FNP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2007 N 3RD AVE E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEWTON",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "50208-2522",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "563-299-9692",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1960 SW MAGAZINE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ANKENY",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "50023-2978",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "515-348-6380",
"PracticeLocationAddressFaxNumber": "515-452-0565",
"EnumerationDate": "09/24/2019",
"LastUpdateDate": "10/05/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "A156607",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "G185358",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}