Johnny Malcolm Hasserodt, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

674744 Issued in TX

Practice address

13725 Northwest Blvd Ste 260
Corpus Christi, TX 78410-5123

Phone

(361) 387-5161

NPI assigned

Jun 8, 2011

Sex

Male

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 TX

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Michael S Lovoi MD PAGroup PAC ID 3476580499, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Michael S Lovoi MD PA

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1003945353
  Medicare reassignment Care Compare group NPD
• Oleander Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Victoria, TX
  • NPI 1346515103

  Nurse Practitioner

  Medicare reassignment NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• I-Med

  • Multi-Specialty Clinic/Center
  • Corpus Christi, TX
  • NPI 1770971434
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1164716072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261017",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784261017",
            "telephone_number": "361-387-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD STE 260",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105123",
            "telephone_number": "361-387-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSERODT",
        "first_name": "JOHNNY",
        "middle_name": "MALCOLM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "674744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Hasan
• Hasnain Hashmi
• Khadija Hassan, MD
• Mohamad Charif Hassan, M.D
• Salsabeal Hassanin, D.O.
• Kristie Lea Hastings, SLP ASST
• Jacqueline Rae Hatfield, FNP, RN
• Morissa Anne Hathaway
• Shannon Hathaway, PTA
• Jenny Hatheway

• Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.