Carol L Hargate, CPNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R0741783 Issued in MN

Practice address

345 North Smith Avenue
Childrens Hospitals & Clinics of MN Emerg Phys STPL
St Paul, MN 55102

Phone

(651) 220-6914

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

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.

• Neighborhood Healthsource

  • Federally Qualified Health Center (FQHC)
  • Coon Rapids, MN
  • NPI 1659323459
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1205913258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10081 DOGWOOD ST NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554485282",
            "telephone_number": "651-855-2327",
            "fax_number": "651-855-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 NORTH SMITH AVENUE",
            "address_2": "CHILDRENS HOSPITALS & CLINICS OF MN EMERG PHYS STPL",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-220-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGATE",
        "first_name": "CAROL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R0741783",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "R0741783",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "R0741783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651242900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill M Hardy, CRNA
• Cayden Hare, DC
• Feysal Farah Hared
• Hasan Hareed
• Tim Harer
• Stephen J Hargens, CRNA
• Vanessa Hargens
• Thomas M Harkcom, MD
• Steven Harker, MD
• Sonja Harlane, APRN, CNP

• Primary Care Nurse Practitioner in St Paul, MN
• Providers in St Paul, MN by specialty
• Primary Care Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.