SHANE HAGEN (NPI# 1841642535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841642535 |
| Entity Type | Individual |
| Full Name | SHANE HAGEN |
| Credential | AGACNP-BC |
| Practice Address |
624 Westport Rd Kansas City MO 64111-3128 |
| Practice Telephone | 8169368700 |
| Mailing Telephone | 8169368700 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2016000962 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922475490 | Shane Anthony Hagen | Community Health Worker | 4939 North 3rd Street, Laramie, WY 82072-9548 | 2015-08-31 |
| 1538725742 | Shane Michael Hagen | Student in an Organized Health Care Education/Training Program | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2019-05-13 |
| Street Address |
624 WESTPORT RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710488143 | Karen Komoroski | Nurse Practitioner | 624 Westport Rd, Kansas City, MO 64111-3128 | 2018-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634373 | Taylor Eckhoff | Nurse Practitioner | 2733 Gillham Rd Apt 1n, Kansas City, MO 64108-3136 | 2020-09-22 |
| 1104459833 | Zakiya S Clemoens | Nurse Practitioner | 629 W 101st Ter, Kansas City, MO 64114-4236 | 2020-02-21 |
| 1730725987 | Chelsea Amack | Nurse Practitioner | 9011 N Byfield Ave, Kansas City, MO 64154-1838 | 2019-11-22 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1124507504 | Shelby Nicole Ising | Nurse Practitioner | 1308 W 50th Ter, Kansas City, MO 64112-1168 | 2018-08-07 |
| 1467994202 | Sarah Jane Heldstab | Nurse Practitioner | 3736 Locust St, Apartment 32, Kansas City, MO 64109-2283 | 2016-11-10 |
| 1881144996 | Tami Dawn Torticill | Nurse Practitioner | 8737 Ne Boone St, Kansas City, MO 64155-2632 | 2016-10-12 |
| 1285092569 | Gretchen Casper | Nurse Practitioner | 12219 Locust St, Kansas City, MO 64145-1781 | 2016-02-02 |
| 1386965259 | Nicole Hedberg | Nurse Practitioner | Ku Neurosurgery 3901 Rainbow Blvd, Mail Stop 3021, Kansas City, KS 66160-0001 | 2010-06-15 |
| 1821697160 | Johnny Todd Linard | Nurse Practitioner | 4401 Wornall Rd, Kansas City, MO 64111-3241 | 2020-10-19 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on SHANE HAGEN.
| 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.