Holly Hagerman

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

H R1178 Grounding Brancd
Jolo, WV 24850

Phone

(304) 967-6039

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1154916807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "JOLO",
            "state": "WV",
            "postal_code": "248500218",
            "telephone_number": "304-967-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "H R1178 GROUNDING BRANCD",
            "city": "JOLO",
            "state": "WV",
            "postal_code": "24850",
            "telephone_number": "304-967-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERMAN",
        "first_name": "HOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Arndt
• Alexandra Bales
• Josie Day
• Christy Dellinger
• Courtney Kennedy
• Miranda Ann Mullins, LGSW, MSW
• Daniel J Puckett, PHARMD
• Joyce Rowe
• Kevin Rowe

• Community Health Worker in Jolo, WV
• Providers in Jolo, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.