Kathy Lynn Hagerman, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP116209 Issued in TX

Practice address

221 3Rd St W
Randolph Afb, TX 78150-4800

Phone

(210) 652-2543

NPI assigned

Sep 13, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1023003324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23864 CIBOLO VW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782661760",
            "telephone_number": "210-651-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 3RD ST W",
            "city": "RANDOLPH AFB",
            "state": "TX",
            "postal_code": "781504800",
            "telephone_number": "210-652-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERMAN",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP116209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Fenzl, PHARM D
• Adrienne N Fields, ACNP-BC
• Zelwyn Zadiel Figueroa Bravo, PA-C
• Jon Paul Fitzgerald, IDMT
• Brent Leslie Gilliland, D.D.S.
• Neema Rukiya Hardeman, M.D.
• Karen Holmstead, APRN
• Todd R. Howell, M.D.
• Camyla Madeline Sarah Joule
• Kevin J Kaps, DO

• Pediatric Nurse Practitioner in Randolph Afb, TX
• Providers in Randolph Afb, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.