KIMBERLY R HAGEN (NPI# 1528145356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528145356 |
| Entity Type | Individual |
| Full Name | KIMBERLY R HAGEN |
| Credential | ARNP |
| Practice Address |
3334 Capital Medical Blvd #400 Tallahassee FL 32308 |
| Practice Telephone | 8508778174 |
| Practice Fax Number | 8508775636 |
| Mailing Telephone | 8508778174 |
| Mailing Fax Number | 8508775636 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN9185998 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000690200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555709 | Kimberly Ann Hagen | Physician Assistant | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2019-06-05 |
| 1245369990 | Kimberly Hagen Hagen | Psychologist | 12021 Wilmington Ave, Trailer 6, Los Angeles, CA 90059-3019 | 2007-03-05 |
| 1518972272 | Kimberly M Hagen | Social Worker | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2006-07-30 |
| Street Address |
3334 CAPITAL MEDICAL BLVD #400 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518934694 | Hank Lawrence Hutchinson | Orthopaedic Surgery | 3334 Capital Medical Blvd #400, Tallahassee, FL 32308-4470 | 2006-03-07 |
| 1619391802 | Mark Gibson | Orthotist | 3334 Capital Medical Blvd #400, Tallahassee, FL 32308-4470 | 2014-02-10 |
| 1710129408 | Edward Robert Jackson II | Orthopaedic Surgery | 3334 Capital Medical Blvd #400, Tallahassee, FL 32308-4470 | 2009-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152080 | Jazmine Bell | Nurse Practitioner | 2430 Old Saint Augustine Rd, Tallahassee, FL 32301-4914 | 2020-10-23 |
| 1457967473 | Shakeema Alexandra Facey | Nurse Practitioner | 901 Riggins Rd Apt 1035, Tallahassee, FL 32308-2206 | 2020-09-16 |
| 1790300697 | Joselyn Leigh Johnson | Nurse Practitioner | 322 Mcdaniel St, Tallahassee, FL 32303-6249 | 2020-06-16 |
| 1174143366 | Manouchka Clitus Pierre | Nurse Practitioner | 3463 Falmouth Ct, Tallahassee, FL 32317-9016 | 2020-04-17 |
| 1710519137 | Torie Medders | Nurse Practitioner | 2623 Centennial Blvd. Ste. 103, Tallahassee, FL 32308-0601 | 2020-02-05 |
| 1700425758 | Carolyn Eaves | Nurse Practitioner | 3208 Ginger Dr Apt C, Tallahassee, FL 32308-4447 | 2019-12-21 |
| 1174172266 | Lakeshia Washington | Nurse Practitioner | 4214 Sierra Woods Trl, Tallahassee, FL 32311-6606 | 2019-09-10 |
| 1932761764 | Nadine Henderson | Nurse Practitioner | 1803 Miccosukee Commons Dr Ste 201, Tallahassee, FL 32308-7403 | 2019-07-02 |
| 1942767637 | Ferdinand Labong Flores | Nurse Practitioner | 1401 Centerville Rd Ste 510, Tallahassee, FL 32308-4640 | 2019-02-28 |
| 1336627421 | Kristen Hope Ganas | Nurse Practitioner | 2915 Kerry Forest Pkwy Ste 103, Tallahassee, FL 32309-7803 | 2018-08-01 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on KIMBERLY R 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.