Susan Kathrine Hagmann, BSN,RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

97672-030 Issued in WI

Practice address

1 Rock Is
Rock Island, IL 61299-7350

Phone

(309) 782-6856

Fax

(309) 782-0990

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Susan Kathrine Hagmann Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114013265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 RIDGEWOOD CT",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547299616",
            "telephone_number": "715-877-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROCK IS",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612997350",
            "telephone_number": "309-782-6856",
            "fax_number": "309-782-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGMANN",
        "first_name": "SUSAN",
        "middle_name": "KATHRINE",
        "name_prefix": "Mrs.",
        "credential": "BSN,RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WI",
            "license": "97672-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HAGMANN",
            "middle_name": "KATHRINE",
            "prefix": "MRS.",
            "credential": "BSN,RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dale Alan Guebert, LCPC
• Chasity M. Gushulak-St Amand, FNP STUDENT
• Sandra Guzman, MSED
• Lindsey Hageman, L.P.C.
• Logan Hagerman
• Kim Deann Hall
• Maryann Halpin, OTR/L
• William Murray Hamilton
• Julie E Hammell, MHP
• Kirsten Rae Hampton, LMSW

• Case Management Registered Nurse in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Case Management Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.