JULIE KAY HAGGERTY


Address: 8985 E State Highway 9, Ellisville, IL 61431-9542
Phone: 3092932605

JULIE KAY HAGGERTY (NPI# 1790014520) 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) 1790014520
Entity Type Individual
Full Name JULIE KAY HAGGERTY
Other Name JULIE KAY KEM
Credential APN
Practice Address 8985 E State Highway 9
Ellisville
IL 61431-9542
Practice Telephone 3092932605
Mailing Telephone 3092932605
Enumeration Date 2009-12-07
Last Update Date 2009-12-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
209007867 IL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 8985 E STATE HIGHWAY 9
City ELLISVILLE
State IL
Zip Code 61431-9542

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NPI Name Taxonomy Address Enumeration
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1740806025 Ashely Moore Occupational Therapy Assistant 27 Reinke Rd, Ellisville, MO 63021-4700 2020-06-22
1982223020 Carol Nacke Speech-Language Pathologist 235 Clayton Oaks Dr, Ellisville, MO 63011-2055 2020-04-09
1487288734 Susan L Kotar Technician/Technologist 327 Quails Hill Ct, Ellisville, MO 63011-2037 2020-02-26
1881227759 Courtney J. Sims Nurse Practitioner 80 Hal Crocker Road, Ellisville, MS 39437 2020-02-19
1528609278 Breaking Boundaries, LLC Speech-Language Pathologist 471 Highway 590, Ellisville, MS 39437-8241 2019-10-03
1053974394 Academy Home Care Services, LLC In Home Supportive Care 355 Ozark Trail Dr Ste 2, Ellisville, MO 63011-2164 2019-04-22
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City ELLISVILLE
Zip Code 61431

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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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