Miranda Hagan, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3016004 Issued in KY

Practice address

1018 E New Circle Rd Ste 205
Lexington, KY 40505-4138

Phone

(859) 303-5918

Fax

(859) 303-5918

NPI assigned

Jan 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Infiniti Healthcare LLC

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1184314254
  Medicare reassignment NPD Authorized official
• Changed Lives Substance Abuse Treatment

  • Mental Health Counselor
  • Lexington, KY
  • NPI 1609412618
  Medicare reassignment NPD
• Lexmed

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1538969928
  NPD Authorized official
• Right Track Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
  • NPI 1851059083
  NPD Authorized official

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1003404534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 E NEW CIRCLE RD STE 205",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054138",
            "telephone_number": "859-303-5918",
            "fax_number": "859-303-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 E NEW CIRCLE RD STE 205",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054138",
            "telephone_number": "859-303-5918",
            "fax_number": "859-303-5918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 E Reynolds Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405179005",
            "country_code": "US",
            "telephone_number": "859-245-5595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "MIRANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3016004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelyn Boner Hadley, RPH
• Sarah Welch Haerle, DMD
• Jack Edwin Haffermann
• Emily Katharine Hagan, BCBA
• Kelly Lynn Hagan, M.A.
• Michael Dale Hagen, M.D.
• Christy Roe Hager, RN
• Larkin McClain Hager Jr.
• Mallory Nicole Hager
• William David Hager, MD

• Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.