Active NPI
Josiah Hagemann, LAT, ATC
- Athletic Trainer
- Mars Hill, NC
National Provider Identifier
1265713622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1552
- Practice address
- 100 Athletic St
Mars Hill, NC 28754-9134 - Phone
- (828) 689-1266
- Fax
- (828) 689-1313
- NPI assigned
- Aug 30, 2011
- Last updated
- Aug 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1552 | NC | Primary |
Addresses
Primary practice location
100 Athletic St
Mars Hill, NC 28754-9134
Mailing address
100 Athletic St
PO Box 6668
Mars Hill, NC 28754-9134
Phone (828) 689-1266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1265713622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ATHLETIC ST",
"address_2": "PO BOX 6668",
"city": "MARS HILL",
"state": "NC",
"postal_code": "287549134",
"telephone_number": "828-689-1266",
"fax_number": "828-689-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ATHLETIC ST",
"city": "MARS HILL",
"state": "NC",
"postal_code": "287549134",
"telephone_number": "828-689-1266",
"fax_number": "828-689-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEMANN",
"first_name": "JOSIAH",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-30",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "1552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mars Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.