Individual provider Active NPI

Dana Hasten, FNP

  • Orthopaedic Surgery Physician
  • Flagstaff, AZ
National Provider Identifier
1174653638
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
RN0494401 Issued in AZ
Practice address
77 West Forest Avenue
Suite 301
Flagstaff, AZ 86001-1483
Phone
(928) 773-2280
Fax
(928) 773-2281
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN094401 AZ
Orthopaedic Surgery Physician 207X00000X RN0494401 AZ Primary

Addresses

Primary practice location

77 West Forest Avenue
Suite 301
Flagstaff, AZ 86001-1483

Mailing address

77 West Forest Avenue
Suite 301
Flagstaff, AZ 86001-1483
Phone (928) 773-2280

Other identifiers 2

IdentifierTypeStateIssuer
836629MedicaidAZ
786098MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN0494401AZMDOrthopaedic Surgery Physician
RN094401AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtualcare Medical Group of NV-Feng PC Family CurrentSince Sep 25, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 1, 2022 Accepting new patients
Virtualcare Medical Group PA Nurse Practitioner CurrentSince Dec 21, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 1, 2022 Accepting new patients
Winslow Indian Health Care Center, Inc Past Accepting new patients

Locations

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1174653638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WEST FOREST AVENUE",
            "address_2": "SUITE 301",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011483",
            "telephone_number": "928-773-2280",
            "fax_number": "928-773-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WEST FOREST AVENUE",
            "address_2": "SUITE 301",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011483",
            "telephone_number": "928-773-2280",
            "fax_number": "928-773-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTEN",
        "first_name": "DANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN094401",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "RN0494401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836629",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "786098",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.