CAROL LEIGH HAGAN (NPI# 1609281658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609281658 |
| Entity Type | Individual |
| Full Name | CAROL LEIGH HAGAN |
| Credential | APRN-CNP |
| Practice Address |
13316 S Western Ave Ste M Moore OK 73170-7310 |
| Mailing Address |
13316 S Western Ave Ste M Oklahoma City OK 73170-7310 |
| Practice Telephone | 4054955154 |
| Mailing Telephone | 4054955154 |
| Mailing Fax Number | 4052373155 |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2015-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
62775 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | DEA | MH3245330 | 01 |
| Street Address |
13316 S WESTERN AVE STE M |
| City | MOORE |
| State | OK |
| Zip Code | 73170-7310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1982233565 | Bethany Ann Arthur | Student in an Organized Health Care Education/Training Program | 661 Waterview Rd, Okc, OK 73170 | 2020-04-06 |
| 1952868929 | Ariana N. Ree | Peer Specialist | 328 Sw 147th St, Oklahoma City, OK 73170 | 2019-02-26 |
| 1780151431 | Looking Up Counseling | Counselor | 709 Sw 119th Ste. B1, Okc, OK 73170 | 2018-10-31 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1619468378 | Nhan Nguyen | Student in an Organized Health Care Education/Training Program | 10504 S Miller Ave, Oklahoma City, OK 73170 | 2018-05-29 |
| 1740709906 | Hall Podiatry LLC | Clinic/Center | 20 Sw 132nd Terrace, Moore, OK 73170 | 2017-09-19 |
| 1942727896 | Adelaide V South | Dietitian, Registered | 12216 S Land Ave, Oklahoma City, OH 73170 | 2017-08-22 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| 1245762293 | Michael David Detten | Physical Therapist | 10740 S May Ave Ste 111, Oklahoma City, OK 73170 | 2017-03-29 |
| Find all providers in zip 73170 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033729504 | Christopher R Stepp | Nurse Practitioner | 612 Madeline Ln, Moore, OK 73160-0003 | 2020-08-08 |
| 1821627167 | Lauren D'ann Clark | Nurse Practitioner | 3305 Red Maple Ln, Moore, OK 73170-1025 | 2020-04-08 |
| 1598324642 | Alexandria Nicole Martin | Nurse Practitioner | 705 Wall Cir, Moore, OK 73160-1940 | 2019-06-12 |
| 1518439991 | Alysia Mcdaniel | Nurse Practitioner | 9208 Winfield Ln, Moore, OK 73160-9161 | 2018-12-22 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1124512322 | Fulcrum Clinic LLC | Nurse Practitioner | 1025 Sw 4th St Ste 204, Moore, OK 73160-2404 | 2018-06-20 |
| 1174034565 | Anthony Eugene Johnson | Nurse Practitioner | 905 Sw 38th St, Moore, OK 73160-9409 | 2017-10-12 |
| 1356892921 | Roy Slootheer | Nurse Practitioner | 1308 River Birch Run, Moore, OK 73160-1378 | 2016-10-19 |
| 1649639279 | Valerie Bell | Nurse Practitioner | 110 Kimberling Dr, Moore, OK 73160-4629 | 2016-02-10 |
| 1508270588 | Cora Elizabeth Davis | Nurse Practitioner | 551 Se 4th St, Moore, OK 73160-6790 | 2014-06-17 |
| Find all providers in MOORE | ||||
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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.