MORGANA HAZELL (NPI# 1063784411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063784411 |
| Entity Type | Individual |
| Full Name | MORGANA HAZELL |
| Credential | PSYD |
| Practice Address |
120 Hospital Dr Suite 100 Lebanon MO 65536-9238 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4178203128 |
| Practice Fax Number | 4178208616 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2016-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
2011039220 | MO | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2014001357 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1063784411 | 05 |
| Street Address |
120 HOSPITAL DR SUITE 100 |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-9238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073023586 | Alyssa Lynn Wright | Nurse Practitioner | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2017-10-10 |
| 1922457886 | Katherine Becker | Nurse Practitioner | 120 Hospital Dr, Ste 100, Lebanon, MO 65536-9238 | 2016-06-10 |
| 1760841571 | Alysa Barcus | Nurse Anesthetist, Certified Registered | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2016-02-22 |
| 1134595952 | David Houzenga | Nurse Anesthetist, Certified Registered | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2015-08-16 |
| 1124403944 | Lisa M. Boggs | Nurse Practitioner | 120 Hospital Dr, Suite 300, Lebanon, MO 65536-9238 | 2015-07-22 |
| 1578901773 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 225, Lebanon, MO 65536-9238 | 2013-06-10 |
| 1366880874 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 100, Lebanon, MO 65536-9238 | 2013-06-06 |
| 1457798167 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 300/350, Lebanon, MO 65536-9238 | 2013-06-04 |
| 1134478738 | Rajasekhar Tanikella | Hospitalist | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2012-08-29 |
| 1013228071 | Richard Mulrenin | Psychologist | 120 Hospital Dr, Ste 100, Lebanon, MO 65536-9238 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821294 | William D. Campagna | Psychologist | 1220 State Route 31, Ste. 19, Lebanon, NJ 08833 | 2018-05-15 |
| 1881196376 | Allied Health Professionals | Psychologist | 3056 Horn Springs Road, Lebanon, TX 37087-1953 | 2018-03-01 |
| 1972904894 | Mujgan Inciler | Psychologist | 5787 State Route 63, C/o Wci, Lebanon, OH 45036 | 2014-09-10 |
| 1871992578 | Samantha Robin Wertheimer | Psychologist | 1202 Ash Lane, Lebanon, PA 17042-9626 | 2014-08-19 |
| 1295062156 | Danielle Tope | Psychologist | 48 Williams Crossing Rd, Lebanon, CT 06249-1339 | 2009-11-12 |
| 1104048727 | Paul J Walker Sr. | Psychologist | 5787 St Route 63, Lebanon, OH 45036 | 2007-05-03 |
| 1235274275 | John Tilghman Hower | Psychologist | 195 N Cornwall Rd E, Lebanon, PA 17042-9014 | 2007-02-20 |
| 1396808531 | Dale K Horst | Psychologist | 15 S 9th St, Lebanon, PA 17042-5104 | 2006-12-19 |
| 1578645974 | Georgette Ventura | Psychologist | 511 Noble St, Lebanon, PA 17042-6322 | 2006-10-19 |
| 1205847837 | Diane P Hoover | Psychologist | 1700 South Lincoln Ave (690), Lebanon, PA 17042 | 2006-08-10 |
| Find all providers in LEBANON | ||||
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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.