MICHELLE HOPE HAGAN (NPI# 1578995171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578995171 |
| Entity Type | Individual |
| Full Name | MICHELLE HOPE HAGAN |
| Credential | CRNP |
| Practice Address |
16053 Highway 72 Rogersville AL 35652-8141 |
| Mailing Address |
Po Box 401 Rogersville AL 35652-0401 |
| Practice Telephone | 2562470093 |
| Practice Fax Number | 2562475289 |
| Mailing Telephone | 2562470093 |
| Mailing Fax Number | 2562475289 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2016-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1-099297 | AL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-099297 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
137509 | TN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063457265 | Michelle N Hagan | Physician Assistant | 3755 Orange Pl Ste 105, Beachwood, OH 44122-4426 | 2006-06-19 |
| 1922321520 | Michelle M Hagan | Dietitian, Registered | 101 W 8th Ave, Spokane, WA 99201-2307 | 2010-03-10 |
| Street Address |
16053 HIGHWAY 72 |
| City | ROGERSVILLE |
| State | AL |
| Zip Code | 35652-8141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437132685 | Charles A Gaputis | Family Medicine | 16053 Highway 72, Rogersville, AL 35652-8141 | 2005-11-22 |
| 1801221700 | Rogersville Family Care | Family Medicine | 16053 Highway 72, Rogersville, AL 35652-8141 | 2013-09-10 |
| 1598000226 | Stephanie S Harrison | Counselor | 16053 Highway 72, Rogersville, AL 35652-8141 | 2012-12-06 |
| 1457506578 | Charles Anthony Gaputis | Family Medicine | 16053 Highway 72, Rogersville, AL 35652-8141 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164030300 | Caleb Jeffery Hodges | Dentist | 16090 Us-72, Rogersville, AL 35652 | 2020-07-14 |
| 1386079739 | Thomas Daniel Eck | Physical Medicine & Rehabilitation | 48 Market Square, Rogersville, AL 35652 | 2013-09-04 |
| 1588992333 | Family Health Care Clinic, Inc. | Clinic/Center | 16410 Highway 72, Rogersville, AL 35652 | 2009-12-04 |
| 1194909796 | Elgin Quick Med, Inc | Family Medicine | 2850 Hwy 101, Rogersville, AL 35652 | 2007-12-19 |
| 1508938200 | Southern Rural Health Care Consortium | Clinic/Center | 16410 Hwy 72, Rogersville, AL 35652 | 2006-11-15 |
| 1093801136 | Rogersville Emergency Ambulance Unit | Ambulance | 36 Wheeler St, Rogersville, AL 35652 | 2006-10-05 |
| 1073620456 | Freds Stores of Tennessee Inc | Pharmacy | 16100 Hwy 72, Rogersville, AL 35652 | 2006-08-23 |
| 1417990623 | David Wayne Frye | Pharmacist | 1661 Lee Street, Rogersville, AL 35652 | 2006-06-14 |
| 1518922251 | Amanda Tucker Davis | Pharmacist | 1661 Lee St., Rogersville, AL 35652 | 2006-04-18 |
| 1699860247 | Corrina L Williams | Pharmacist | 1661 Lee St, Rogersville, AL 35652 | 2006-10-03 |
| Find all providers in zip 35652 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367438 | Regional Services | Nurse Practitioner | 512 Sentry Dr, Rogersville, MO 65742-6528 | 2018-12-07 |
| 1649746041 | Judy K Martin | Nurse Practitioner | 225 High Rock Rd, Rogersville, TN 37857-4165 | 2018-10-23 |
| 1396285995 | Amy Nicole Lipe | Nurse Practitioner | 600 Skyview Dr, Rogersville, TN 37857-6216 | 2017-03-01 |
| 1912374257 | Heather Campbell Mills | Nurse Practitioner | 482 Park Blvd Ste A, Rogersville, TN 37857-6927 | 2015-08-21 |
| 1861646218 | Emily Beth Crawford | Nurse Practitioner | 611 Old Highway 70 S, Rogersville, TN 37857-5401 | 2008-11-12 |
| 1972773075 | Betty J Wilson | Nurse Practitioner | 2927 Highway 66 S, Rogersville, TN 37857-5169 | 2008-03-04 |
| 1689207938 | Keshia Beth Luster | Nurse Practitioner | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2020-02-14 |
| 1477100113 | Brooke Leanna Carver | Nurse Practitioner | 405 Scenic Dr, Rogersville, TN 37857-2441 | 2019-08-19 |
| 1487128708 | Kristen Dykes | Nurse Practitioner | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2019-01-21 |
| 1346711082 | Tommy Virgil Mccluskey | Nurse Practitioner | 16023 Highway 72, Rogersville, AL 35652-8141 | 2018-12-06 |
| Find all providers in ROGERSVILLE | ||||
| City | ROGERSVILLE |
| Zip Code | 35652 |
Please comment or provide details below to improve the information on MICHELLE HOPE HAGAN.
| 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.