MRS. DIANE MARIE HAGEMANN (NPI# 1437419744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437419744 |
| Entity Type | Individual |
| Full Name | MRS. DIANE MARIE HAGEMANN |
| Credential | RPH |
| Practice Address |
15011 Woodland Trail Drive Auburn IL 62615 |
| Mailing Address |
15011 Woodland Trail Dr Auburn IL 62615-9429 |
| Practice Telephone | 2174389226 |
| Mailing Telephone | 2174389226 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051041061 | IL | Pharmacy Service Providers |
| Street Address |
15011 WOODLAND TRAIL DRIVE |
| City | AUBURN |
| State | IL |
| Zip Code | 62615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881027803 | Andrea Elise O'dell | Pharmacist | 414 N. 5th Street, Auburn, IL 62615 | 2013-08-13 |
| 1407034721 | Andrea R Graham | Physical Therapist | 412 West Jefferson Street, Auburn, IL 62615 | 2008-02-08 |
| 1841417052 | Ma. Marissa Remolana Acharon | Occupational Therapist | 304 W Maple Avenue, Auburn, IL 62615 | 2007-04-19 |
| 1346785672 | Auburn Dental Care | Dentist | 500 E Jackson St, Auburn, IL 62615 | 2016-12-22 |
| 1972114551 | Chelsea R Black | Dental Hygienist | 428 N 8th St, Auburn, IL 62615-1006 | 2020-08-16 |
| 1467001214 | Lauren Elizabeth Sabo | Nurse Practitioner | 906 W North St, Auburn, IL 62615-1046 | 2019-09-04 |
| 1124134721 | Auburn Comm Unit School Dist 10 | Local Education Agency (LEA) | 606 W North St, Auburn, IL 62615-1144 | 2006-08-23 |
| 1174698799 | Auburn Area Ambulance Service | Ambulance | 200 W Washington St, Auburn, IL 62615-1149 | 2006-11-21 |
| 1821098211 | Auburn Nursing and Rehabilitation | Skilled Nursing Facility | 304 W Maple Ave, Auburn, IL 62615-1177 | 2005-07-28 |
| 1700326048 | Brandy Brown | Non-emergency Medical Transport (VAN) | 404 S 9th St, Auburn, IL 62615-1357 | 2017-03-06 |
| Find all providers in zip 62615 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562703 | Unaleesha Henry | Pharmacist | 776 Bridle Creek Way, Auburn, GA 30011-4656 | 2020-09-13 |
| 1730706557 | Jenny Rose Calayag | Pharmacist | 28216 54th Ave S, Auburn, WA 98001-1928 | 2020-06-26 |
| 1114546132 | Courtney Gunn | Pharmacist | 904 Andrews Ave, Auburn, AL 36832-6002 | 2020-04-09 |
| 1730719238 | Jared Sibley | Pharmacist | 447 W Longleaf Dr Apt 1215, Auburn, AL 36832-7416 | 2020-01-23 |
| 1982254934 | Anne Wyant Saunders | Pharmacist | 501 Webster Rd Lot 11, Auburn, AL 36832-4211 | 2019-09-11 |
| 1992365852 | Darby Reynolds Norris | Pharmacist | 2047 E. University Dr., Auburn, AL 36830-3336 | 2019-06-13 |
| 1578128302 | Jacqueline Lacey Nash | Pharmacist | 1550 Pumphrey Ave, Auburn, AL 36832-4302 | 2019-05-07 |
| 1790213866 | Amy Morton Dean | Pharmacist | 717 Queens, Auburn, AL 36830 | 2017-06-01 |
| 1881138428 | Kristina M Wimpee | Pharmacist | 134 Sugar Maple Drive, Suite A, Auburn, KY 42206 | 2016-12-16 |
| 1255781480 | Lucia C Carter | Pharmacist | 359 Shell Toomer Pkwy, Auburn, AL 36830-6951 | 2016-06-19 |
| Find all providers in AUBURN | ||||
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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.