Justin James Hannegan, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

1497 Issued in MA

Practice address

15047 W 54TH Dr
Golden, CO 80403-2915

Phone

(720) 308-4567

NPI assigned

May 8, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1255508313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 KALAKALA CIR S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15047 W 54TH DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804032915",
            "telephone_number": "720-308-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNEGAN",
        "first_name": "JUSTIN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "MA",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Hamilton, DPT
• Natalie B Hamilton, MD
• Carrie Dunlap Hamm, MPT
• Robert Hammer, MD
• Hanger Prosthetics & Orthotics Inc
• Laura D. Hanson, FNP-C
• Haley Joanna Harkendorff, PA-C
• Kathleen Marie Harley, PA-C
• Ashley L. Harriman, PA-C
• Laurel Elizabeth Harris, M.A., L.P.C.

• Electroneurodiagnostic Specialist/Technologist in Golden, CO
• Providers in Golden, CO by specialty
• Electroneurodiagnostic Specialist/Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.