KATHLEEN ANNETTE HAGAN (NPI# 1366759805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366759805 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANNETTE HAGAN |
| Credential | APRN |
| Practice Address |
310 W Kaahumanu Ave Kahului HI 96732-1643 |
| Mailing Address |
32 Hoku Pl Paia HI 96779-8122 |
| Practice Telephone | 8089843493 |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2010-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN 58675 | HI | Nursing Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | APRN 932 | HI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330052 | Kathleen Hagan | Student in an Organized Health Care Education/Training Program | 307 Cascade St, Sitka, AK 99835-7140 | 2020-06-15 |
| 1598990756 | Kathleen Hagan | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-05-18 |
| Street Address |
310 W KAAHUMANU AVE |
| City | KAHULUI |
| State | HI |
| Zip Code | 96732-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730273517 | Steven T Farmer | Family Medicine | 310 W Kaahumanu Ave, Kahului, HI 96732-1643 | 2006-10-03 |
| 1235293523 | Denise Cohen | Nurse Practitioner | 310 W Kaahumanu Ave, Maui Comm College Hlth Ctr, Kahului, HI 96732-1617 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749435 | Catherine Phan | Behavior Technician | 427 Ala Makani St, Suite 200, Kahului, HI 96732 | 2020-04-16 |
| 1427535665 | Miles H. Katahara, D.d.s., Inc. | Dentist | 140 Hoohana St. Suite 204, Kahului, HI 96732 | 2018-07-20 |
| 1013428291 | Maui Family Young Men's Christian Association | Health Educator | 250 Kanaloa Ave, Kahului, HI 96732 | 2017-10-16 |
| 1467998765 | Costco | Clinic/Center | 540 Haleakala Highway, Kahului, HI 96732 | 2017-01-10 |
| 1164884649 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450a Kanaloa Street, Kahului, HI 96732 | 2016-03-24 |
| 1487016846 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450 B Kanaloa Avenue, Kahului, HI 96732 | 2016-03-24 |
| 1396118311 | Allison Yoshimoto | Speech-Language Pathologist | 122 Anamuli Street, Kahului, HI 96732 | 2015-11-13 |
| 1609252295 | Nanc Ellen Fellerman (-yahr) | Speech-Language Pathologist | 161 S. Wakea Avenue, Imua Family Services, Kahului, HI 96732 | 2015-08-05 |
| 1134508716 | Bayada Home Care | Community/Behavioral Health | 427 Ala Makani Street, Suite 200, Kahului, HI 96732 | 2015-05-28 |
| 1467843656 | B.c.p., Inc. Dba/ Bayada Home Health Care | Home Health | 427 Ala Makani St., Suite 200, Kahului, HI 96732 | 2015-02-10 |
| Find all providers in zip 96732 | ||||
| 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 |
|---|---|---|---|---|
| 1174132336 | Da Eun Suh | Student in an Organized Health Care Education/Training Program | 2350 Dole St # C400, Honolulu, HI 96822-2410 | 2020-07-23 |
| 1083222517 | Marife Solomon | Student in an Organized Health Care Education/Training Program | 840 Kakala St Apt 405, Kapolei, HI 96707-4608 | 2020-07-21 |
| 1881211639 | Sheryl Acacio | Student in an Organized Health Care Education/Training Program | 59-419 Kawowo Pl, Haleiwa, HI 96712-9536 | 2020-06-27 |
| 1629697347 | Ryan Yee | Student in an Organized Health Care Education/Training Program | 4133 Paloma Pl, Honolulu, HI 96816-3931 | 2020-04-13 |
| 1558997510 | Ashley-anne Feria Makaula | Student in an Organized Health Care Education/Training Program | 520 Lunalilo Home Rd Unit 255, Honolulu, HI 96825-1721 | 2020-03-20 |
| 1801421870 | Macy Tiatti Coleman | Student in an Organized Health Care Education/Training Program | 683 Waianae Ave, Schofield Barracks, HI 96786 | 2020-03-10 |
| 1922633163 | Eden Koo | Student in an Organized Health Care Education/Training Program | 1013 Waieli St, Honolulu, HI 96821-1242 | 2020-03-09 |
| 1215574090 | Celeste C Ashimine | Student in an Organized Health Care Education/Training Program | 694 Aipo St, Honolulu, HI 96825-2445 | 2019-11-29 |
| 1922650555 | Kaitlyn Issler | Student in an Organized Health Care Education/Training Program | 4520 Kukui St, Kapaa, HI 96746-1770 | 2019-07-13 |
| 1316408446 | Yuree Namkung | Student in an Organized Health Care Education/Training Program | 2229 N. School St., Honolulu, HI 96819-2588 | 2019-03-29 |
| 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.