CHARLENE MICHELLE HAGEN (NPI# 1306154463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306154463 |
| Entity Type | Individual |
| Full Name | CHARLENE MICHELLE HAGEN |
| Credential | CNP |
| Practice Address |
622 W Maple St Suite B Farmington NM 87401-6590 |
| Practice Telephone | 5053274867 |
| Practice Fax Number | 5053275355 |
| Mailing Telephone | 5053274867 |
| Mailing Fax Number | 5053275355 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP-01673 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
622 W MAPLE ST SUITE B |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-6590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518922202 | Julie Elizabeth Kleva | Optometrist | 622 W Maple St, Suite E, Farmington, NM 87401-6590 | 2006-04-18 |
| 1043571458 | Mark Himes | Family Medicine | 622 W Maple St, Ste B, Farmington, NM 87401-6590 | 2012-06-01 |
| 1396054078 | Dennis Robison Md PC | Surgery | 622 W Maple St, Suite C, Farmington, NM 87401-6590 | 2010-09-29 |
| 1508012022 | Karl M. Francis Jr., M.d. PC | Surgery | 622 W Maple St, Suite C, Farmington, NM 87401-6590 | 2008-08-15 |
| 1821268152 | Melania Yeats PC | Surgery | 622 W Maple St, Suite C, Farmington, NM 87401-6590 | 2008-03-03 |
| 1750551081 | David W. Mccray, M.d., PC | Surgery | 622 W Maple St, Suite C, Farmington, NM 87401-6590 | 2008-03-03 |
| 1568630374 | San Juan Surgical Associates | Surgery | 622 W Maple St, Suite C, Farmington, NM 87401-6590 | 2008-02-14 |
| 1073649836 | David W Mccray | Surgery | 622 W Maple St, Suite C, Farmington, NM 87401-6590 | 2007-02-26 |
| 1093841728 | Dennis J Robison | Surgery | 622 W Maple St, Suite C, Farmington, NM 87401-6590 | 2007-02-26 |
| 1598802464 | Eye Associates of New Mexico, Ltd. | Optometrist | 622 W Maple St, Suite E, Farmington, NM 87401-6590 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699252270 | Holly Welch | Nurse Practitioner | 2300 E 30th St Ste B-106, Farmington, NM 87401-8991 | 2018-07-26 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1861915282 | Jesmi K Stanislavose | Nurse Practitioner | 18 Two Mile Rd, Farmington, CT 06032-2513 | 2017-07-18 |
| 1801265731 | Loc Nguyen | Nurse Practitioner | 316 Nh-11, Farmington, NH 03835 | 2015-09-22 |
| 1922256775 | Candy Sue Johnson | Nurse Practitioner | 158 E Fulton St, Farmington, IL 61531-1227 | 2008-09-05 |
| 1821106345 | Nancy J Crouse | Nurse Practitioner | 601 E Fort St, Farmington, IL 61531-1338 | 2006-08-25 |
| 1316053028 | Gina Heberlie | Nurse Practitioner | 508 W Pine St, Farmington, MO 63640-1426 | 2006-08-23 |
| 1548257090 | Peter A Ford | Nurse Practitioner | 11 South Rd Ste 130, Farmington, CT 06032-2483 | 2005-09-30 |
| 1700483930 | Sarah Jane Gadd | Nurse Practitioner | 991 Shepard Ln Ste 200, Farmington, UT 84025-2974 | 2020-10-01 |
| 1578183968 | Robert Bradley | Nurse Practitioner | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2020-04-26 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
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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.