MS. TRACY R HAGAN (NPI# 1558324715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558324715 |
| Entity Type | Individual |
| Full Name | MS. TRACY R HAGAN |
| Credential | AOCNP |
| Practice Address |
900 Hospital Dr Madisonville KY 42431-1644 |
| Practice Telephone | 2708255800 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2014-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
3005183 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
71001230B | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RR MEDICARE | P01079960 | 01 |
| IN | 200445130 | 05 | |
| KY | 78007838 | 05 | |
| RR MEDICARE | P00082583 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124306261 | Tracy Cole Hagan | Dentist | 7930 Frost St, Suite 101, San Diego, CA 92123-2737 | 2011-07-22 |
| 1265585954 | Tracy A Hagan | Physician Assistant | 400 Holiday Dr, Pittsburgh, PA 15220-2727 | 2007-01-18 |
| Street Address |
900 HOSPITAL DR |
| City | MADISONVILLE |
| State | KY |
| Zip Code | 42431-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364026 | Alice Beary | Registered Nurse | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2005-05-27 |
| 1972129286 | Covenant Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2020-06-23 |
| 1427680412 | Robbie Leigh Jones | Nurse Practitioner | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2020-02-07 |
| 1316597032 | Whitney Noel | Nurse Anesthetist, Certified Registered | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2019-09-14 |
| 1578112512 | Tabitha Kaitlin Oliver | Pharmacist | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2019-09-11 |
| 1922656990 | Tyler Lee Burns | Nurse Anesthetist, Certified Registered | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2019-09-03 |
| 1639726540 | Jennifer Nicole Estes | Nurse Anesthetist, Certified Registered | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2019-08-26 |
| 1508425935 | Anne Taylor Beck | Student in an Organized Health Care Education/Training Program | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2019-06-10 |
| 1194298042 | Meredith Hyde | Nurse Practitioner | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2019-01-03 |
| 1295213973 | Sandra Alexis Soriano | Physician Assistant | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2018-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846309 | Sarah Davenport Ziegler | Registered Nurse | 3050 Nebo Rd, Madisonville, KY 42431 | 2019-02-08 |
| 1134604903 | Kelsey Dawn Wilson | Occupational Therapist | 425 Island Ford Rd, Madisonville, KY 42431 | 2018-09-27 |
| 1174006209 | Shaun Vickery | Physical Therapist | 425 Island Ford Road, Madisonville, KY 42431 | 2018-09-14 |
| 1881115384 | Filza Tajik | Speech-Language Pathologist | 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 | 2017-07-05 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1811363880 | Cory Eakins | Nutritionist | 2223 S Main St, Madisonville, KY 42431 | 2015-08-13 |
| 1932598257 | Deidra Boyken | Counselor | 145 E. Center Street Suite 1d, Madisonville, KY 42431 | 2015-01-12 |
| 1841602398 | Jessica France | Occupational Therapist | 339 S Seminary St, Madisonville, KY 42431 | 2014-06-02 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1013275023 | Creasha King | Counselor | 1079 Thornberry Dr Ste B, Madisonville, KY 42431 | 2012-04-26 |
| Find all providers in zip 42431 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760912612 | Jared Hall | Nurse Practitioner | 1020 Waterfall Ct, Madisonville, KY 42431-8079 | 2017-06-14 |
| 1003352626 | Holly Marie Griffin | Nurse Practitioner | 1350 N Main St, Madisonville, KY 42431-1282 | 2017-01-07 |
| 1710462924 | Charlie Clay Davis | Nurse Practitioner | 800 Hospital Dr, Madisonville, KY 42431-1658 | 2018-10-03 |
| 1164954863 | Joyce Teague | Nurse Practitioner | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2017-03-31 |
| 1437601036 | Starla Swaney | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354 | 2016-10-30 |
| 1568911600 | Brandi Lea Scott | Nurse Practitioner | 800 Hospital Dr, Madisonville, KY 42431-1658 | 2016-09-30 |
| 1679932404 | Brandi Barnes | Nurse Practitioner | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2016-02-22 |
| 1336419993 | Mark A Gerdesmeier | Nurse Practitioner | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2012-01-12 |
| 1659676526 | Erin Leigh Larkins | Nurse Practitioner | 800 Hospital Dr, Madisonville, KY 42431-1658 | 2011-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912212 | Barbara Jane Bloom | Nurse Practitioner | 474 Litteral Ln, Argillite, KY 41121-8981 | 2020-11-04 |
| 1386242998 | Brandi Lynee Mullins | Nurse Practitioner | 139 Whicker Dr, Russell Springs, KY 42642-9656 | 2020-10-15 |
| 1548868367 | Emily Han | Nurse Practitioner | 3245 Orchard Grass Rd, Lexington, KY 40509-8639 | 2020-10-14 |
| 1285231043 | Harold Anthony Flood | Nurse Practitioner | 114 E 20th St, Benton, KY 42025-1721 | 2020-10-05 |
| 1114531803 | Karalee Ann Mlack | Nurse Practitioner | 432 Sara Leigh Dr Apt 2, Richmond, KY 40475-2648 | 2020-09-01 |
| 1689288417 | Joshua Goldstein | Nurse Practitioner | 11376 Cemetery Rd, Bowling Green, KY 42103-9832 | 2020-08-31 |
| 1104440791 | Julianne Cumbers | Nurse Practitioner | 210 Forest Ridge Cv, Paducah, KY 42003-8055 | 2020-05-30 |
| 1891329959 | Margaret Taylor Stevenson | Nurse Practitioner | 9302 Villa Fair Ct, Louisville, KY 40291-1493 | 2020-02-27 |
| 1710469994 | Edumedics | Nurse Practitioner | 201 E Jefferson St., Ste 102, Louisville, KY 40202 | 2018-09-04 |
| 1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
| City | MADISONVILLE |
| Zip Code | 42431 |
Please comment or provide details below to improve the information on MS. TRACY R HAGAN.
| 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.