MS. ANGIE LE'ALICE HAGAN (NPI# 1629307194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629307194 |
| Entity Type | Individual |
| Full Name | MS. ANGIE LE'ALICE HAGAN |
| Credential | CPM, CNP |
| Practice Address |
3331 Del Rey Blvd Las Cruces NM 88012 |
| Mailing Address |
Po Box 370 Hatch NM 87937-0370 |
| Practice Telephone | 5753731033 |
| Practice Fax Number | 5752671747 |
| Mailing Telephone | 5752673280 |
| Mailing Fax Number | 5752671747 |
| Enumeration Date | 2009-12-13 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
CNP-02963 | NM | Nursing Service Providers |
| N | 176B00000X | Midwife | 02431R | NM | Other Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
CNP-02963 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 S Gold Ave, Deming, NM 880303731 | 5756803094 |
| Street Address |
3331 DEL REY BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396366670 | Juan Gutierrez | Nurse Practitioner | 3331 Del Rey Blvd, Las Cruces, NM 88012-7713 | 2020-04-28 |
| 1740816420 | Erica Gutierrez | Nurse Practitioner | 3331 Del Rey Blvd, Las Cruces, NM 88012-7713 | 2020-03-13 |
| 1639645914 | Chase Sloat | Physician Assistant | 3331 Del Rey Blvd, Las Cruces, NM 88012-7713 | 2018-10-15 |
| 1619462405 | Anthony Prieto | Dentist | 3331 Del Rey Blvd, Las Cruces, NM 88012-7713 | 2018-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972588 | Ashley Ruiz | Behavior Technician | 5210 Cats Eye Road, Las Cruces, NM 88012 | 2018-11-27 |
| 1922549492 | Marisol Olivas Lmft LLC | Community/Behavioral Health | 5019 Kensington Way, Las Cruces, NM 88012 | 2017-03-16 |
| 1487026563 | Ben Archer Health Center | Clinic/Center | 3331 Del Rey Blvd., Las Cruces, NM 88012 | 2015-10-28 |
| 1003214941 | Rosa Smith | Case Manager/Care Coordinator | 5022 Calle De Ranchero, Las Cruces, NM 88012 | 2014-12-09 |
| 1891198081 | Patrick Garcia | Nurse Practitioner | 5819 Coyote Peak Place, Las Cruces, NM 88012 | 2014-10-01 |
| 1598182008 | Candido Jasso | Case Manager/Care Coordinator | 4076 Windridge Circle, Las Cruces, NM 88012 | 2014-03-21 |
| 1134542186 | Dawn Loree Schallock | Registered Nurse | 4675 Peachtree Hills Rd., Las Cruces, NM 88012 | 2014-01-28 |
| 1144642133 | Minerva L Saavedra | Case Manager/Care Coordinator | 3823 Fossil Court, Las Cruces, NM 88012 | 2014-01-10 |
| 1780931089 | Elida Hernandez | Case Manager/Care Coordinator | 5572 La Reina, Las Cruces, NM 88012 | 2012-08-07 |
| 1841546231 | Mary Jane Duran | Case Manager/Care Coordinator | 2882-3 Glass Rd, Las Cruces, NM 88012 | 2012-08-03 |
| Find all providers in zip 88012 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275013922 | Kathleen A Stevens | Nurse Practitioner | 2800 Doral Ct, Las Cruces, NM 88011-8616 | 2018-08-21 |
| 1154829570 | Sarah Patricia Summers-barrio | Nurse Practitioner | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 | 2018-01-31 |
| 1255855086 | Gabrielle Nichole Allsup | Nurse Practitioner | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2017-08-02 |
| 1487806808 | Shane Brock | Nurse Practitioner | 1635 S Don Roser Dr, Las Cruces Va Cboc, Las Cruces, NM 88011-4550 | 2008-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808126 | Compassion Docs LLC | Nurse Practitioner | 8100 Wyoming Blvd Ne Ste M-4302, Albuquerque, NM 87113-1946 | 2020-10-11 |
| 1598398216 | Melissa Rose Pino | Nurse Practitioner | 10855 Firenze Dr Nw, Albuquerque, NM 87114-5287 | 2020-02-20 |
| 1043857410 | Elizabeth F Baca | Nurse Practitioner | 2502 Marble Ave, Albuquerque, NM 87131-0001 | 2019-12-04 |
| 1386108546 | Patricia Shepard | Nurse Practitioner | 1410 N 8th St Ste B, Carlsbad, NM 88220-3217 | 2019-01-22 |
| 1376945261 | Kenneth Smith II | Nurse Practitioner | 224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103 | 2014-09-23 |
| 1023255510 | Valencia Family Medicine & Express Care | Nurse Practitioner | 311 S. Los Lentes, Los Lunas, NM 87031 | 2009-01-21 |
| 1356358477 | Mary Louise Blankenship | Nurse Practitioner | 3200 La Orilla Rd Nw, Albuquerque, NM 87120-2742 | 2006-08-02 |
| 1861093825 | Lesley Roller | Nurse Practitioner | 328 Main St Ne, Los Lunas, NM 87031-7454 | 2020-11-05 |
| 1003415753 | Jessica Wood | Nurse Practitioner | 1400 Main St Nw, Los Lunas, NM 87031-4812 | 2020-10-23 |
| 1023620143 | Chona Miller | Nurse Practitioner | 1500 Lomas Blvd Nw, Albuquerque, NM 87104-1200 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88012 |
Please comment or provide details below to improve the information on MS. ANGIE LE'ALICE 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.