INGRID HAZLETT (NPI# 1134585102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134585102 |
| Entity Type | Individual |
| Full Name | INGRID HAZLETT |
| Other Name | INGRID HEDSTROM |
| Credential | APRN, AGCNS-BC |
| Practice Address |
900 N Orange St Ste 304 Missoula MT 59802-2951 |
| Practice Telephone | 4063295781 |
| Practice Fax Number | 4063273331 |
| Mailing Telephone | 4063295781 |
| Mailing Fax Number | 4063273331 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | NUR-APRN-LIC-126 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364S00000X | Clinical Nurse Specialist | APN.0992090-CNS | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1635 Aurora Ct, Campus Box F 732, Aurora, CO 800452541 | 7208482650 |
| Street Address |
900 N ORANGE ST STE 304 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215914056 | Rashel Jeffrey | Social Worker | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2005-12-22 |
| 1154957850 | Barbara Mcgee | Nurse Practitioner | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2020-03-14 |
| 1881191948 | Providence Health & Services Mt | Clinic/Center | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2018-04-06 |
| 1720588940 | Kayli Michelle Julius | Community Health Worker | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2018-02-14 |
| 1508247255 | Tara Lemm | Dietitian, Registered | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2015-06-17 |
| 1730449380 | Meredith F Ross | Internal Medicine | 900 N Orange St Ste 304, Missoula, MT 59802 | 2012-05-16 |
| 1326180035 | Pamela S Lockwood | Dietitian, Registered | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2007-02-12 |
| 1053321273 | Michele A Danicich | Internal Medicine | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2006-08-09 |
| 1174577589 | Christopher M Corsi | Internal Medicine | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760647820 | Missoula Sleep Medicine, LLC | Clinical Nurse Specialist | 910 Brooks St, Suite 201, Missoula, MT 59801-5783 | 2008-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386917714 | Amanda H Lucas | Clinical Nurse Specialist | 1101 26th St S, Great Falls, MT 59405-5161 | 2012-02-15 |
| 1750577961 | Deanna Alice Brame | Clinical Nurse Specialist | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2007-09-20 |
Please comment or provide details below to improve the information on INGRID HAZLETT.
| 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.