KATRINA L HAGAN (NPI# 1609216134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609216134 |
| Entity Type | Individual |
| Full Name | KATRINA L HAGAN |
| Credential | A.P.R.N. |
| Practice Address |
5129 Dixie Hwy Ste 100 Louisville KY 40216 |
| Mailing Address |
5129 Dixie Hwy Ste 100 Louisville KY 40216-1727 |
| Practice Telephone | (502) 447-8786 |
| Practice Fax Number | 5024478623 |
| Mailing Telephone | 5024478786 |
| Mailing Fax Number | 5024478623 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3008094 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008094 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201183870 | 05 | |
| KY | 7100244950 | 05 |
| Street Address |
5129 DIXIE HWY STE 100 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477714822 | Christopher Dale Henley | Radiology | 5129 Dixie Hwy Ste 100, Louisville, KY 40216-1727 | 2008-06-18 |
| 1477004372 | Taylor Eisenmenger | Family Medicine | 5129 Dixie Hwy Ste 100, Louisville, KY 40216-1727 | 2016-10-17 |
| 1487035069 | Hayley Liu | Nurse Practitioner | 5129 Dixie Hwy Ste 100, Louisville, KY 40216-1727 | 2015-06-09 |
| 1083967285 | Kristen Michelle Morgan | Nurse Practitioner | 5129 Dixie Hwy Ste 100, Louisville, KY 40216-1727 | 2012-10-25 |
| 1194072371 | Cheryl A Jarzomkowski | Nurse Practitioner | 5129 Dixie Hwy Ste 100, Louisville, KY 40216-1727 | 2012-08-07 |
| 1154683357 | Brent Allen Roach | Radiology | 5129 Dixie Hwy Ste 100, Louisville, KY 40216 | 2012-06-13 |
| 1295019081 | Kimberly Ann Mulrooney | Nurse Practitioner | 5129 Dixie Hwy Ste 100, Louisville, KY 40216-1727 | 2011-09-28 |
| 1003141136 | Emily R Aragona | Physician Assistant | 5129 Dixie Hwy Ste 100, Louisville, KY 40216 | 2009-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291813 | Austin Roush | Occupational Therapist | 4512 River Front Dr, Louisville, KY 40216 | 2019-08-20 |
| 1689226201 | A Better You Health Services, Pllc | Nurse Practitioner | 1719 Colony Court, Louisille, KY 40216 | 2019-07-13 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1154829521 | Farnsley Chiropractic, Pllc | Chiropractor | 3500 Dixie Highway, Louisville, KY 40216 | 2018-01-31 |
| 1114441110 | Ryan Michael Alpino | Optometrist | 4917 1/2 Dixie Hwy, Suite H, Louisville, KY 40216 | 2017-08-01 |
| 1528595873 | Kentucky Injury & Rehab LLC | Chiropractor | 5120 Dixie Hwy Suite 106, Louisville, KY 40216 | 2017-05-17 |
| 1326598533 | Nichelle Marshall | Nurse Practitioner | 4912 Dixie Highway, Louisville, KY 40216 | 2016-10-12 |
| 1891194833 | Denise Yvonne Payne | Dentist | 4115 Dixie Highway, Louisville, KY 40216 | 2014-08-15 |
| 1881031052 | Brian L. Tripp | Veterinarian | 2401 Dixie Highway, Louisville, KY 40216 | 2013-05-29 |
| 1134468028 | West Dixie Spine and Rehab Centers | Chiropractor | 5105 B Dixie Hwy, Louisville, KY 40216 | 2013-02-12 |
| Find all providers in zip 40216 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40216 |
Please comment or provide details below to improve the information on KATRINA L 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.