AMY HAGEN (NPI# 1477007888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477007888 |
Entity Type | Individual |
Full Name | AMY HAGEN |
Practice Address |
5000 Memorial Dr Two Rivers WI 54241-3900 |
Practice Telephone | 9207945000 |
Enumeration Date | 2016-08-15 |
Last Update Date | 2016-08-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1037-39 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093992901 | Amy Jean Hagen | Emergency Medicine | Red Lion Rd At Knights Rd, Philadelphia, PA 19114 | 2008-01-23 |
1134759723 | Amy Hagen | Specialist/Technologist | 35105 Kenai Spur Hwy Ste A, Soldotna, AK 99669-7658 | 2020-01-22 |
1174938880 | Amy Hagen | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2014-06-23 |
1205025764 | Amy Marie Hagen | Physical Therapist | 3915 Golden Valley Rd, Courage Center, Golden Valley, MN 55422-4249 | 2007-10-22 |
Street Address |
5000 MEMORIAL DR |
City | TWO RIVERS |
State | WI |
Zip Code | 54241-3900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184690133 | Manuel A. Rivera | Emergency Medicine | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2006-02-28 |
1902423320 | Erin Christine Paschke | Physical Therapist | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2020-07-01 |
1255842498 | Emily Heimerl | Occupational Therapy Assistant | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2017-10-16 |
1952850497 | Ann E Farber | Nurse Practitioner | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2016-09-26 |
1386090512 | Nathan Wallenfang | Nurse Practitioner | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2016-05-06 |
1962875385 | Allison Pierce | Specialist/Technologist | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-11-06 |
1982075420 | Koua Lor | Occupational Therapist | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-10-09 |
1447620042 | Kelly A. Litersky | Dietitian, Registered | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-09-25 |
1821466673 | Carla Jean Stevens | Dietitian, Registered | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-09-10 |
1770951600 | Virginia Matthews | Dietitian, Registered | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-09-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629617667 | Karrie May Kudrna Behrent | Counselor | Phoenix Behavioral Health Services LLC, 3120 Memorial Dr., Two Rivers, WI 54241 | 2019-12-21 |
1972147460 | Linda Sand | Technician | 11409 Wedge Dr., Two Rivers, WI 54241 | 2019-10-29 |
1710536446 | Margaret Smith | Technician | 1916 Roosevelt Ave, Two Rivers, WI 54241 | 2019-09-05 |
1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
1194091322 | Fisher Chiropractic and Rehab Center LLC | Chiropractor | 1817 Washington Street, Two Rivers, WI 54241 | 2012-04-02 |
1396075016 | Holly Lynn Struck | Physical Therapist | 5300 Memorial Drive, Two Rivers, WI 54241 | 2009-12-31 |
1558451906 | David James Loritz | Dentist | 1413 22nd St, Two Rivers, WI 54241 | 2006-10-14 |
1598737744 | City of Two Rivers | Ambulance | 2122 Monroe St, Two Rivers, WI 54241 | 2006-02-02 |
1689156481 | Tyler Luedtke | Physical Therapist | 5300 Memorial Dr, Two Rivers, WI 54241 | 2018-08-29 |
1912426925 | Amy C Nowak | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241 | 2017-09-12 |
Find all providers in zip 54241 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720107378 | Paul Steven Neuenfeldt | Specialist/Technologist | 1400 Washington St Ste 3, Two Rivers, WI 54241-3043 | 2007-03-28 |
1962875385 | Allison Pierce | Specialist/Technologist | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-11-06 |
1518014174 | Michael John Heidt | Specialist/Technologist | 5000 Memorial Dr, Rehabilitation Department, Two Rivers, WI 54241-3900 | 2007-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427657329 | Tyler John Friis | Specialist/Technologist | 1514 E Keystone Ln, Appleton, WI 54913-7162 | 2020-10-21 |
1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
1770198699 | Tanner Sterling | Specialist/Technologist | 2538 E Garrison Rd, Foxboro, WI 54836-9507 | 2020-09-09 |
1922626670 | Eric William Brostrom | Specialist/Technologist | 3305 Lilly Rd, Brookfield, WI 53005-7608 | 2020-07-09 |
1174146690 | Brycen Valiga | Specialist/Technologist | 4477 S 113th St, Greenfield, WI 53228-2566 | 2020-05-19 |
1104448307 | Xeing Randy Yang | Specialist/Technologist | 2207 Namekagon St, Hudson, WI 54016-9426 | 2020-05-11 |
1073134615 | Brian Wood | Specialist/Technologist | 1950 Washington St, Grafton, WI 53024-2103 | 2020-05-06 |
1124649751 | Cody Scott Tesch | Specialist/Technologist | 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 | 2020-05-05 |
1659992642 | Kelley Potila | Specialist/Technologist | 255 Maggilu Ct, Jefferson, WI 53549-2095 | 2020-04-30 |
1366070708 | Claire Duwell | Specialist/Technologist | 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 | 2020-03-31 |
Find all providers with the same taxonomy |
City | TWO RIVERS |
Zip Code | 54241 |
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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.