Julie Haagenstad, COMT

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

210239

Practice address

424 Wind River Dr
Windsor, CO 80550-3185

Phone

(970) 672-7322

NPI assigned

Jul 13, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1316519986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WIND RIVER DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503185",
            "telephone_number": "970-672-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 WIND RIVER DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503185",
            "telephone_number": "970-672-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAGENSTAD",
        "first_name": "JULIE",
        "credential": "COMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": "210239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Suzanne Grieco Desmarais, CPM, RM, LM
• Rebecca Lynn Griffie, RPH
• Judith A Groves, O.D.
• Gina Nicole Guilliams, OTR/L
• Michael Charles Guzelian, DMD
• Jason Wade Haas, D.C.
• Dawn M Hager
• Kaitlyn Hahn, DDS
• Miranda Halcomb, RDH
• Sara Viviana Inga Hallman

• Ophthalmic Technician/Technologist in Windsor, CO
• Providers in Windsor, CO by specialty
• Ophthalmic Technician/Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.