NPIMap

Individual provider Active NPI

Christina Hagood, NP

  • Adult Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1003153131
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
751589 Issued in TX
Practice address
6301 Gaston Ave
Suite 100, West Tower
Dallas, TX 75214-3922
Phone
(214) 827-3610
Fax
(214) 821-4017
NPI assigned
Jan 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 751589 TX Primary

Addresses

Primary practice location

6301 Gaston Ave
Suite 100, West Tower
Dallas, TX 75214-3922

Mailing address

6301 Gaston Ave
Suite 100, West Tower
Dallas, TX 75214-3922
Phone (214) 827-3610

Other identifiers 1

IdentifierTypeStateIssuer
P01174436OtherMCRR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230504001237 VT Practitioner - Nurse Practitioner 2961657382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Vermont Medical Center Inc 1,208 clinicians

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Hospital & facility affiliations

  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
751589TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Texas Neurology, P.a. Past Accepting new patients
Texas Neurology, P.a. PastSince Nov 1, 2019 Accepting new patients

Locations

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

792 College Pkwy
Colchester, VT 05446
Phone (802) 847-0193

Interoperability endpoints

  • Direct secure messaging: chagood548996@direct.uvmhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBAABA

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1003153131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE",
            "address_2": "SUITE 100, WEST TOWER",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143922",
            "telephone_number": "214-827-3610",
            "fax_number": "214-821-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE",
            "address_2": "SUITE 100, WEST TOWER",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143922",
            "telephone_number": "214-827-3610",
            "fax_number": "214-821-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOOD",
        "first_name": "CHRISTINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "751589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P01174436",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.