KRISTINA HAGAN (NPI# 1932627585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932627585 |
| Entity Type | Individual |
| Full Name | KRISTINA HAGAN |
| Practice Address |
1925 W Main St Ste 102 Centre AL 35960 |
| Mailing Address |
1500 1st Ave Unit 3 Birmingham AL 35203-1866 |
| Practice Telephone | 2566774552 |
| Mailing Telephone | 2566774552 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-148603 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1925 W MAIN ST STE 102 |
| City | CENTRE |
| State | AL |
| Zip Code | 35960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306364955 | Sharonda Coutch | Nurse Practitioner | 1925 W Main St Ste 102, Centre, AL 35960 | 2017-09-05 |
| 1407374739 | Mallory Quincey | Nurse Practitioner | 1925 W Main St Ste 102, Centre, AL 35960-2812 | 2017-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972925451 | Valerie Sanchez Leonard | Nurse Practitioner | 1260 Chesnut Bypass, Suite A, Centre, AL 35960 | 2014-01-17 |
| 1417021403 | Deans Drugs Inc. | Pharmacy | 699 Cedar Bluff Rd, Centre, AL 35960 | 2006-11-20 |
| 1710067160 | Larry Mitchell | Emergency Medicine | 1550 County Road 487, Centre, AL 35960 | 2006-10-17 |
| 1922116615 | J & A Pharmacy Inc Centre | Pharmacy | 1490 Chesnut Bypass, Centre, AL 35960 | 2006-08-25 |
| 1811554660 | Allied Cardiovascular Services | Internal Medicine | 1260 Chesnut Bypass, Suite B, Centre, AL 35960 | 2019-05-28 |
| 1144712738 | Floyd Cherokee Medical Center LLC | Emergency Medicine | 400 Northwood Dr, Centre, AL 35960 | 2018-05-31 |
| 1518170398 | Jeff Graves | Pharmacist | 1490 Chesnut Bypass, Centre, AL 35960 | 2007-05-08 |
| 1396764395 | Fort Payne Clinic Corp. | Orthopaedic Surgery | 200 Medical Center Drive, Attn: Director of Physician Practices, Fort Payne, AL 35960 | 2006-07-19 |
| 1457400434 | Cherokee County Health Dept Mat | Public Health or Welfare | 833 Cedar Bluff Rd, Centre, AL 35960-1005 | 2007-01-09 |
| 1487673299 | Byron L. Nelson | Internal Medicine | 833 Cedar Bluff Rd Ste 100, Centre, AL 35960-1005 | 2006-07-19 |
| Find all providers in zip 35960 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306364955 | Sharonda Coutch | Nurse Practitioner | 1925 W Main St Ste 102, Centre, AL 35960 | 2017-09-05 |
| 1386167450 | Margaret Nicole Turner | Nurse Practitioner | 1925 West Main Sreet, Suite 102, Centre, AL 35960-2812 | 2017-07-20 |
| 1760807119 | Aimee Kilgo | Nurse Practitioner | 1260 Chesnut Byp Ste A, Centre, AL 35960-2834 | 2014-02-21 |
| 1972925451 | Valerie Sanchez Leonard | Nurse Practitioner | 1260 Chesnut Bypass, Suite A, Centre, AL 35960 | 2014-01-17 |
| 1679194351 | Stacey Renee Warden | Nurse Practitioner | 1925 W Main St, Centre, AL 35960-2812 | 2020-05-04 |
| 1518444256 | Tina Wood | Nurse Practitioner | 1925 W Main St, Centre, AL 35960-2812 | 2018-07-25 |
| 1407374739 | Mallory Quincey | Nurse Practitioner | 1925 W Main St Ste 102, Centre, AL 35960-2812 | 2017-09-07 |
| 1578081097 | Melissa Jenkins | Nurse Practitioner | 1925 W Main St, Centre, AL 35960-2812 | 2017-09-05 |
| 1538694971 | Cierra Jennings | Nurse Practitioner | 1925 W Main St, Ste 102, Centre, AL 35960-2812 | 2017-04-24 |
| 1952850620 | Emily Beth Oliver | Nurse Practitioner | 400 Northwood Dr, Centre, AL 35960-1023 | 2016-09-23 |
| Find all providers in CENTRE | ||||
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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.