Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tracie Lyn Hansen, BS

Individual provider Peer Specialist · NPI 1639779523

Tracie Lyn Hansen, BS is a Peer Specialist in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2020
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

560 Fairway Dr
Pocatello, ID 83201-2012
Phone: (208) 242-6669
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence CPSS055 (ID)

Record details

NPI number1639779523
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorYes
NPI enumeratedOctober 29, 2020
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Other providers in Pocatello