MRS. MICHELLE LEE HAGEN (NPI# 1063710564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063710564 |
Entity Type | Individual |
Full Name | MRS. MICHELLE LEE HAGEN |
Credential | ACNP-BC |
Practice Address |
1710 Harrison St Batesville AR 72501-7303 |
Practice Telephone | 8702621200 |
Practice Fax Number | 8702626199 |
Mailing Telephone | 8702621200 |
Mailing Fax Number | 8702626199 |
Enumeration Date | 2011-03-08 |
Last Update Date | 2019-03-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A03503 ANP | AR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649883075 | Michelle Nufable Hagen | Marriage & Family Therapist | 668 Rainbow Pl, Diamond Bar, CA 91765-1876 | 2020-08-25 |
1982183208 | Michelle Suzanne Hagen | Physician Assistant | 5801 Virginia Pkwy, Mckinney, TX 75071-5507 | 2018-08-08 |
1366632002 | Michelle Renee Hagen | Physician Assistant | 2201 Jackson Blvd, Suite 102, Rapid City, SD 57702-4386 | 2007-07-30 |
Street Address |
1710 HARRISON ST |
City | BATESVILLE |
State | AR |
Zip Code | 72501-7303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619973500 | Kamarajapuram Raman Desikan | Internal Medicine | 1710 Harrison St, Batesville, AR 72501-7303 | 2005-06-24 |
1316551799 | Lucenthia Georgette Warden | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-09-03 |
1629688247 | Gretchin Cooper | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-08-07 |
1891311270 | Chassidy Elyse Seward | Pharmacist | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-06-22 |
1437770690 | Kemuel Ezekiel Telemaque | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-29 |
1023639291 | Sara Kathryn Whyte | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-29 |
1992325773 | Omar Alkhatib | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-21 |
1386263101 | Jude-patrick Nnamdi Okafor | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-11 |
1922637131 | Steffie-ann Orlene Dujon | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-08 |
1558990952 | Soubhi Alhayek | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
Find all providers in zip 72501 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124272893 | Leslie M Leslie | Nurse Practitioner | 155 Keating Rd, Batesville, MS 38606-2901 | 2008-11-07 |
1962836213 | Carla Jean Smith | Nurse Practitioner | 501 Virginia Dr, Suite A, Batesville, AR 72501-7331 | 2013-08-22 |
1629414354 | Janice Ann Benton | Nurse Practitioner | 3443 Harrison St, Batesville, AR 72501-8820 | 2013-05-21 |
1881983112 | Deanna M Nast | Nurse Practitioner | 3443 Harrison St, Batesville, AR 72501-8820 | 2011-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215538285 | Matthew Barnett | Nurse Practitioner | 63 Dalton Dr, Cave City, AR 72521-9308 | 2020-11-05 |
1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
1528691912 | Rachel Wetherington | Nurse Practitioner | 9501 Baptist Health Dr Ste 500, Little Rock, AR 72205-6225 | 2020-02-13 |
1932749561 | Jennifer Breathitt | Nurse Practitioner | 4542 W Wedge Dr, Fayetteville, AR 72704-7532 | 2020-01-11 |
1124666482 | Martha Lynn Brawner | Nurse Practitioner | 2882 N Bermuda Ave, Fayetteville, AR 72704-6034 | 2019-12-18 |
1366089740 | Katelyn Layne Ledbetter | Nurse Practitioner | 8 Summerwood Dr, Benton, AR 72019-1925 | 2019-12-05 |
1588213771 | Wendy Joanne Hart | Nurse Practitioner | 601 W Maple Ave Ste 703, Springdale, AR 72764-5378 | 2019-09-10 |
1235796145 | Nickey Noid | Nurse Practitioner | 1709 Cedar Dr, Bryant, AR 72019-6378 | 2019-05-26 |
1083175848 | Lisa Renee Bridges | Nurse Practitioner | 423 Magnolia St, Marion, AR 72364-2811 | 2019-03-26 |
1922566785 | Amanda Mcclure | Nurse Practitioner | 6801 Rogers Ave Fl 3, Fort Smith, AR 72903-4067 | 2019-03-11 |
Find all providers with the same taxonomy |
City | BATESVILLE |
Zip Code | 72501 |
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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.