DANIEL HAGERTY (NPI# 1588046064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588046064 |
| Entity Type | Individual |
| Full Name | DANIEL HAGERTY |
| Credential | NP |
| Practice Address |
18173 Redwood Hwy Po Box 847 Selma OR 97538-1257 |
| Practice Telephone | 5414503625 |
| Practice Fax Number | 5412919830 |
| Mailing Telephone | 5414503258 |
| Mailing Fax Number | 5412919830 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2020-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 201503793NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP55375 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 813 Burrel Ave Nw, Cooperstown, ND 58425 | 5413737465 | |
| 10556 New Mexico 337, Tijeras, NM 870598607 | 5413737465 |
| Street Address |
18173 REDWOOD HWY PO BOX 847 |
| City | SELMA |
| State | OR |
| Zip Code | 97538-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699767103 | Katherine Mechling | Family Medicine | 18173 Redwood Hwy, Selma, OR 97538-9732 | 2005-08-19 |
| 1912462144 | Earth Song Medical Practice LLC | Clinic/Center | 18173 Redwood Hwy, Selma, OR 97538 | 2019-02-01 |
| 1730441023 | Elbert C Collins Md | Obstetrics & Gynecology | 18173 Redwood Hwy, Selma, OR 97538 | 2012-06-12 |
| 1003128729 | Barbara Braunstein | Massage Therapist | 18173 Redwood Hwy, Selma, OR 97538 | 2010-07-10 |
| 1861681967 | Katherine Mechling | Clinic/Center | 18173 Redwood Hwy, Selma, OR 97538-0847 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871810580 | Lacy M Miller | Registered Nurse | 1874 Lakeshore Dr., Selma, OR 97538 | 2010-04-21 |
| 1245531664 | Peggie Meredith Harris | Physical Therapist | 18255 Redwood Hwy, Selma, OR 97538 | 2010-11-17 |
| 1447420674 | Jacqueline T. Farless | Contractor | 5616 Lake Shore Dr, Selma, OR 97538-9711 | 2008-03-04 |
| 1386740736 | Kay Nielson Pta LLC | Clinic/Center | 18255 Redwood Hwy, Selma, OR 97538-9729 | 2006-09-15 |
| 1063653046 | Kay Marie Nielson | Massage Therapist | 18255 Redwood Hwy, Selma, OR 97538-9729 | 2009-03-20 |
| 1295855831 | Kailua Naoni Long | Dental Hygienist | 1360 Mcmullen Creek Rd, Selma, OR 97538-9749 | 2007-03-29 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538793765 | Janessa Lavane Webster | Nurse Practitioner | 16820 Dancing Ava Unit 4, Selma, TX 78154-3576 | 2020-02-26 |
| 1861022030 | Terrika Anderson-cook | Nurse Practitioner | 48 County Road 444, Selma, AL 36701-8887 | 2020-01-16 |
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1881163087 | Rebecca Elaine Castro Rios | Nurse Practitioner | 5016 E Fm 1518 N, Selma, TX 78154-1360 | 2018-11-16 |
| 1053891986 | Loren M Gorman | Nurse Practitioner | 209 Stampede Rnch, Selma, TX 78154-1966 | 2018-08-20 |
| 1659893469 | Letevia Herlong | Nurse Practitioner | 713 J L Chestnut Boulevard, Selma, AL 36702 | 2017-07-13 |
| 1205292984 | Mary Chelimo Kipchumba | Nurse Practitioner | 1475 Al Highway 14 E, Selma, AL 36703-2996 | 2016-01-11 |
| 1467821157 | Francis Nicole Vogler | Nurse Practitioner | 1023 Medical Center Pkwy Ste 401, Selma, AL 36701-6712 | 2015-09-23 |
| 1376976183 | Breena Reid Till | Nurse Practitioner | 713 J L Chestnut Blvd, Selma, AL 36702-2213 | 2013-08-15 |
| 1164406757 | Arlene Shipman | Nurse Practitioner | 3275 Mccall Ave, Selma, CA 93662-2551 | 2005-12-06 |
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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.