KIMBERLY HAGEDORN


Address: 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727
Phone: 5733349564

KIMBERLY HAGEDORN (NPI# 1669832556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669832556
Entity Type Individual
Full Name KIMBERLY HAGEDORN
Practice Address 1349 N Mount Auburn Rd
Cape Girardeau
MO 63701-1727
Practice Telephone 5733349564
Practice Fax Number 5733341879
Mailing Telephone 5733349564
Mailing Fax Number 5733341879
Enumeration Date 2016-03-04
Last Update Date 2016-03-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
110790 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1349 N MOUNT AUBURN RD
City CAPE GIRARDEAU
State MO
Zip Code 63701-1727

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740231000 Debra Burton Nurse Practitioner 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 2006-05-12
1558916023 Sarah J Michael Nurse Practitioner 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 2019-08-01
1760730139 Dana Marie Moore Nurse Practitioner 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 2012-08-16
1164736930 Shuang Ying Bao Internal Medicine 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 2010-08-03
1639120389 Frank W Braxton Internal Medicine 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 2006-05-15
1841240421 Nuhad A Kulaylat Internal Medicine 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 2006-05-12
1639129224 Cape Girardeau Nephrology Associates, PC Internal Medicine 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 2006-05-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336748110 Westbrook Dialysis, LLC Clinic/Center 140 West Drive, Cape Girardeau, MO 63701 2020-10-22
1972079580 Savannah Laine Menard Behavior Technician 20 S. Sprigg St, Cape Girardeau, MO 63701 2018-10-22
1932690377 Broadway Specialty, LLC Pharmacy 706 Broadway St, Cape Girardeau, MO 63701 2018-05-22
1356864649 Terri L. Mccord Pharmacist 4170 Connor Dr, Cape Girardeau, MO 63701 2017-07-19
1013459312 Christina Cossou Nurse Practitioner 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 2016-11-17
1124573365 Ashley Sullivan Massage Therapist 3041 Melrose Ave, Cape Girardeau, MO 63701 2016-08-17
1225432172 Axpm - Merkley, LLC Dentist 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 2014-10-21
1639573397 Marian Perez Hurt Physical Therapist 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 2014-10-09
1891194213 Deanna Abner Case Manager/Care Coordinator 20 South Sprigg, Cape Girardeau, MO 63701 2014-08-21
1831506880 Kwadwo O Britwum Behavioral Analyst Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 2014-07-22
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538691845 Linda Lou Soder Nurse Practitioner 48 Doctors Park, Cape Girardeau, MO 63703-4928 2017-03-28
1497200927 Leslie Evans-hedge Nurse Practitioner 48 Doctors Park, Cape Girardeau, MO 63703-4928 2016-08-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023632932 Rebecca Theresa Medlock Nurse Practitioner 736 Marco Valley Ct, Fenton, MO 63026-5318 2020-06-05
1083233274 Gina Hart Nurse Practitioner 12101 Woodcrest Executive Dr Ste 102, Saint Louis, MO 63141-5047 2020-04-08
1215569512 Nicole M Wikoff Nurse Practitioner 12415 Hickory Grove Ln, Saint Louis, MO 63146-3907 2020-02-05
1124658257 Amadu Barrie Nurse Practitioner 134 Midland Avenue, Maryland Heights, MO 63043 2020-01-16
1922569995 Sarah Regan Nurse Practitioner 1031 Bellevue Ave Ste 100, Saint Louis, MO 63117-1855 2019-03-30
1437615044 Ashley M Berneking Nurse Practitioner 4122 Keaton Crossing Blvd Ste 102, O Fallon, MO 63368-8219 2019-02-19
1174094072 Michelle Kay Bank Nurse Practitioner 12409 Roth Hill Dr, Maryland Heights, MO 63043-2941 2018-12-17
1861968612 Nasir Gebi Nurse Practitioner 603 E Minor Dr Apt 202, Kansas City, MO 64131-3688 2018-10-19
1457839573 Robert Claude Kamtio Kamgoum Nurse Practitioner 406 W 34th St Ste 428, Kansas City, MO 64111-3113 2018-07-31
1639613813 University of Missouri Nurse Practitioner 1100 Virginina Ave, Columbia, MO 65212-0001 2016-12-07
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Competitor

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City CAPE GIRARDEAU
Zip Code 63701

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Dataset Information

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.

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