MRS. ALEXANDRA RUPP HAGERMAN (NPI# 1629569595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629569595 |
| Entity Type | Individual |
| Full Name | MRS. ALEXANDRA RUPP HAGERMAN |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
461 W Huron St Ste 103 Pontiac MI 48341-1601 |
| Mailing Address |
1175 Brunswick Rochester Hills MI 48309-3760 |
| Practice Telephone | 2487247600 |
| Mailing Telephone | 7342740119 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 112605 | CT | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704352134 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
7630 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Buxton Farm Rd Ste 210, Stamford, CT 06905 | 2033227070 |
| Street Address |
461 W HURON ST STE 103 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932675899 | Monica Dallo | Nurse Practitioner | 461 W Huron St Ste 103, Pontiac, MI 48341-1601 | 2018-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538947 | Kaitlyn Elizabeth Kus | Nurse Practitioner | 64 N Saginaw St, Pontiac, MI 48342-2155 | 2019-09-29 |
| 1174096887 | Lisa Anne Brannack | Nurse Practitioner | 989 University Dr Ste 101, Pontiac, MI 48342-1885 | 2019-01-04 |
| 1457850414 | Krystal Richardson | Nurse Practitioner | 461 W. Huron Suite 107, Pontiac, MI 48341 | 2018-02-06 |
| 1356866842 | Brandi Jones | Nurse Practitioner | 1296 Oaklawn Dr, Pontiac, MI 48341-3604 | 2017-08-07 |
| 1821466277 | Cheryl Elaine Nickolaou | Nurse Practitioner | 46156 Woodward Ave Ste B, Pontiac, MI 48342-5033 | 2015-09-02 |
| 1962000539 | Belinda Becker | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-10-15 |
| 1427661552 | Gloria Ann Przygoda | Nurse Practitioner | 1506 W Reynolds St, Pontiac, IL 61764-9674 | 2020-08-28 |
| 1932729274 | Justin Rodnez | Nurse Practitioner | 181 State St, Pontiac, MI 48341-1453 | 2020-04-16 |
| 1760012637 | Stacey M Merrill | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9784 | 2020-01-20 |
| 1154968667 | Samantha M Johnson | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2019-12-03 |
| Find all providers in PONTIAC | ||||
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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.