MR. SHANE ANTHONY HAGEN (NPI# 1922475490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922475490 |
| Entity Type | Individual |
| Full Name | MR. SHANE ANTHONY HAGEN |
| Practice Address |
4939 North 3rd Street Laramie WY 82072-9548 |
| Practice Telephone | 3077458997 |
| Practice Fax Number | 3077426146 |
| Mailing Telephone | 3077458997 |
| Mailing Fax Number | 3077426146 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841642535 | Shane Hagen | Nurse Practitioner | 624 Westport Rd, Kansas City, MO 64111-3128 | 2016-07-06 |
| 1538725742 | Shane Michael Hagen | Student in an Organized Health Care Education/Training Program | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2019-05-13 |
| Street Address |
4939 NORTH 3RD STREET |
| City | LARAMIE |
| State | WY |
| Zip Code | 82072-9548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688924 | Colby Wolf | 16th & Gibbon, Department 3414, Laramie, WY 82072 | 2020-08-03 | |
| 1871947341 | Curran Quast | Case Manager/Care Coordinator | 1465 N 4th St Ste 111, Laramie, WY 82072 | 2016-04-20 |
| 1184030827 | David Hokanson | Dentist | 352 N. 4th Street, Laramie, WY 82072 | 2014-07-02 |
| 1356673297 | Aaron Lozano | Counselor | 1465 N. 4th Street #119, Laramie, WY 82072 | 2010-02-03 |
| 1407181092 | Maureen K. Johnson Inc | In Home Supportive Care | 2010 Reynolds H280, Laramie, WY 82072 | 2009-10-15 |
| 1316120991 | Nephrology Clinic PC | Clinic/Center | 3116 Willet Dr, Laramie, WY 82072 | 2007-12-06 |
| 1851410682 | Laramie Reproductive Health | Public Health or Welfare | 1252 N 22nd St Suite A, Laramie, WY 82072 | 2007-03-29 |
| 1942345327 | Fike Chiropractic Pain Relief | Chiropractor | 1267 N 15th St, Suite 123b, Laramie, WY 82072 | 2007-02-21 |
| 1336215441 | Laramie Pediatrics Internal Medicine | Internal Medicine | 1252 North 22nd St, Ste B, Laramie, WY 82072 | 2006-11-28 |
| 1407939218 | Ark Regional Services, Inc | Occupational Therapist | 1150 N 3rd Street, Laramie, WY 82072 | 2006-10-23 |
| Find all providers in zip 82072 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861050908 | Thorsen Shoupe | Community Health Worker | 2008 Alsop Ln Apt 235, Laramie, WY 82072-5326 | 2019-06-04 |
| 1568825172 | Oscar Lilley | Community Health Worker | 1520 Palmer Dr, Apt. 4, Laramie, WY 82070-4774 | 2016-03-31 |
| 1740604156 | Keneth James Huffman | Community Health Worker | 4989 North 3rd Street, Laramie, WY 82072-9548 | 2014-02-06 |
| 1427396233 | Megan Dirks | Community Health Worker | 4989 3rd St, Cathedral Home for Children, Laramie, WY 82073-9548 | 2013-01-29 |
| 1023100336 | Brooke Lynn Benson | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2006-09-28 |
| 1952909301 | Matthew Mills | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1043818487 | Kristine Holt | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1386242733 | Jacob Brownell | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1619575073 | Callie Clingman | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1518565977 | Maxwell Prevost | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| Find all providers in LARAMIE | ||||
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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.