NIKKI LYNNE HAGEN (NPI# 1174959183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174959183 |
Entity Type | Individual |
Full Name | NIKKI LYNNE HAGEN |
Credential | NP |
Practice Address |
15953 Aime Ln Wadsworth IL 60083-9626 |
Practice Telephone | 8476232616 |
Mailing Telephone | 8476232616 |
Enumeration Date | 2013-09-23 |
Last Update Date | 2013-09-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
041.138021 | IL | Nursing Service Providers |
Street Address |
15953 AIME LN |
City | WADSWORTH |
State | IL |
Zip Code | 60083-9626 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003336546 | Lauren Renee Bean | Behavioral Analyst | 18550 W Millburn Rd, Old Mill Creek, IL 60083 | 2017-06-26 |
1235594623 | Roberta Jeter | Dental Hygienist | 13146 W Newcastle Ln, Beach Park, IL 60083-3001 | 2015-12-29 |
1902296502 | Mary Roberson | Counselor | 39385 N Stockton Ln, Beach Park, IL 60083-3010 | 2015-02-03 |
1548624471 | David Londo | Specialist/Technologist | 39400 N Stockton Ln, Beach Park, IL 60083-3011 | 2016-04-06 |
1639658883 | Timberly Robinson | Social Worker | 13123 W Yorkshire Ln, Beach Park, IL 60083-3019 | 2018-08-08 |
1073140513 | Grishma V. Gandhi | Nurse Practitioner | 13100 W Yorkshire Ln, Beach Park, IL 60083-3020 | 2020-03-25 |
1699822460 | Allison Sheridan Myers | Speech-Language Pathologist | 12916 W Wakefield Dr, Beach Park, IL 60083-3040 | 2007-01-04 |
1548414048 | Sumer Porter | Developmental Therapist | 39649 N Warren Ln, Beach Park, IL 60083-3051 | 2008-11-11 |
1841490182 | Mary Ann Wiermanski | Psychologist | 39667 N Warren Lane, Beach Park, IL 60083-3051 | 2007-07-24 |
1649413642 | Jennifer Lynn Heuschmidt | Occupational Therapist | 39534 N Queensbury Ln, Beach Park, IL 60083-3055 | 2009-04-07 |
Find all providers in zip 60083 |
Taxonomy Code | 163WM0102X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Maternal Newborn |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952930372 | Julie Wiess | Registered Nurse | 1032 N Claremont Dr, Palatine, IL 60074-4000 | 2020-04-07 |
1699314310 | Tarissa La Shell Stanciel | Registered Nurse | 932 23rd Ave, Bellwood, IL 60104-2501 | 2019-12-28 |
1134443989 | Priscilla Ann Brown | Registered Nurse | 435 E Oakwood Blvd Unit 37, Chicago, IL 60653-2337 | 2010-03-23 |
1376890517 | Marshelle M Santoro | Registered Nurse | 3815 Highland Ave, Lactation Office, Downers Grove, IL 60515-1500 | 2012-08-07 |
1316276801 | Tanya C Mchale | Registered Nurse | 715 Lake St, Suite 516, Oak Park, IL 60301-1422 | 2009-12-14 |
1215193453 | Lorian Leigh Williams Willis | Registered Nurse | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2008-08-06 |
1497798656 | Kim Lucille Armour | Registered Nurse | 25 North Winfield Rd., Winfield, IL 60190 | 2006-06-14 |
Please comment or provide details below to improve the information on NIKKI LYNNE 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.