KATHLEEN HAGAN (NPI# 1093330052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093330052 |
| Entity Type | Individual |
| Full Name | KATHLEEN HAGAN |
| Practice Address |
307 Cascade St Sitka AK 99835-7140 |
| Practice Telephone | 9077380698 |
| Mailing Telephone | 9077380698 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 375 S Chipeta Way, Salt Lake City, UT 841081260 | 8015817766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366759805 | Kathleen Annette Hagan | Registered Nurse | 310 W Kaahumanu Ave, Kahului, HI 96732-1643 | 2010-09-03 |
| 1598990756 | Kathleen Hagan | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-05-18 |
| Street Address |
307 CASCADE ST |
| City | SITKA |
| State | AK |
| Zip Code | 99835-7140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
| 1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
| Find all providers in zip 99835 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385589 | Erika Mullgrav | Student in an Organized Health Care Education/Training Program | 222 Tongas Dr, Sitka, AK 99835 | 2020-01-15 |
| 1578002671 | Chase Kenton Garris | Student in an Organized Health Care Education/Training Program | 222 Tongass Dr, Sitka, AK 99835-9416 | 2017-02-22 |
| 1053850628 | Sarah Garris | Student in an Organized Health Care Education/Training Program | 222 Tongass Dr, Meh Room E-256, First Floor East, Sitka, AK 99835-9416 | 2017-02-15 |
| 1790143592 | Jessica Cheverton | Student in an Organized Health Care Education/Training Program | 222 Tongass Dr, Unit 415, Sitka, AK 99835-9416 | 2016-02-08 |
| 1255799052 | Gregory Phillip Lang | Student in an Organized Health Care Education/Training Program | 222 Tongass Dr, Sitka, AK 99835-9416 | 2016-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949622 | Adam Weis | Student in an Organized Health Care Education/Training Program | 3112 Airport Way Ste 1, Fairbanks, AK 99709-4768 | 2020-10-09 |
| 1669088860 | Roxie Powell | Student in an Organized Health Care Education/Training Program | 1205 E Intl Airport Rd Ste 100, Anchorage, AK 99518-1409 | 2020-09-22 |
| 1457963308 | Brittany Shawn Carie | Student in an Organized Health Care Education/Training Program | 2524 S Paddock Dr, Wasilla, AK 99654-8451 | 2020-08-21 |
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1649808221 | Morgan Taylor Noad | Student in an Organized Health Care Education/Training Program | 11311 Pyramid Dr Apt 9, Anchorage, AK 99516-1368 | 2020-03-30 |
| 1356999189 | Kara Lynn Boothby | Student in an Organized Health Care Education/Training Program | 1301 E Palmer Wasilla Hwy Ste 400, Wasilla, AK 99654-7257 | 2019-08-26 |
| 1750945317 | Rell D Sturdevant | Student in an Organized Health Care Education/Training Program | 11267 W Big Dipper Dr, Wasilla, AK 99623-4914 | 2019-04-29 |
| 1346722279 | Kimberly Shriner | Student in an Organized Health Care Education/Training Program | 1970 Hollowell Rd, North Pole, AK 99705 | 2018-09-06 |
| 1063945871 | Ryah Mckinley | Student in an Organized Health Care Education/Training Program | 1040 Gilmore St, Fairbanks, AK 99701-4117 | 2017-04-07 |
| 1700231529 | Jun Yamamoto | Student in an Organized Health Care Education/Training Program | 217 Skyline Dr, Homer, AK 99603-9270 | 2016-04-29 |
| Find all providers with the same taxonomy | ||||
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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.