NATHAN HAGEN (NPI# 1376916478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376916478 |
| Entity Type | Individual |
| Full Name | NATHAN HAGEN |
| Practice Address |
4401 Wornall Rd Kansas City MO 64111-3220 |
| Mailing Address |
Po Box 504407 Saint Louis MO 63150-4407 |
| Practice Telephone | 8165027000 |
| Mailing Telephone | 8165027000 |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
2016000454 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE | 2009017999 | 01 |
| MO | NP LICENSE | 2016000454 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518049931 | Nathan B Hagen | Family Medicine | 115 South St, Michigan Community Medical Clinic, Michigan, ND 58259-0290 | 2006-10-19 |
| Street Address |
4401 WORNALL RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003818345 | Lisa Marie Hermes | Physical Medicine & Rehabilitation | 4401 Wornall Rd, Rehab Physicians Medical Group, Main 4, Kansas City, MO 64111-3220 | 2005-06-01 |
| 1821697160 | Johnny Todd Linard | Nurse Practitioner | 4401 Wornall Rd, Kansas City, MO 64111-3241 | 2020-10-19 |
| 1942813662 | Stephen Senne | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-08-24 |
| 1316556137 | Danielle Mcadams | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-07-28 |
| 1801414719 | Michelle Lee Foltz | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-07-07 |
| 1720602089 | Brittany Mcquain | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-06-02 |
| 1366065211 | Sonny Thanh Phan | Nurse Anesthetist, Certified Registered | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-05-27 |
| 1215550454 | Robert Charles Mix | Nurse Anesthetist, Certified Registered | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-05-22 |
| 1528689981 | Amanda Hill | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-04-27 |
| 1538789193 | Amber Bergmann | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316687 | Jessica Lerner | Nurse Practitioner | 4000 Cambridge St, Kansas City, KS 66160-8501 | 2019-10-01 |
| 1629536974 | Samuel Rivera Ortiz | Nurse Practitioner | 4000 Cambridge St, Kansas City, KS 66160-8501 | 2019-03-06 |
| 1306206677 | Mara Wear | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-03-01 |
| 1609235506 | Renae Brines | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-02-19 |
| 1275991523 | Heather Boyd | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-02-02 |
| 1508236365 | Charis Grosdidier | Nurse Practitioner | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2015-10-05 |
| 1427473859 | Michaela Parsel | Nurse Practitioner | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2014-02-21 |
| 1194149310 | Molly Hope Schapker | Nurse Practitioner | 4440 Broadway St, Kansas City, MO 64111-3315 | 2014-02-07 |
| 1740505700 | Misty N Floersch | Nurse Practitioner | 4320 Wornall Rd, Suite 710, Kansas City, MO 64111-5941 | 2010-04-02 |
| 1992755532 | Catherine Rose Onka | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-12 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on NATHAN HAGEN.
| 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.