Kathleen Annette Hagan, APRN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

APRN 932 Issued in HI

Practice address

310 W Kaahumanu Ave
Kahului, HI 96732-1643

Phone

(808) 984-3493

NPI assigned

Sep 3, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Univ Hawaii Hyperbaric TXT Ctr

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Honolulu, HI
  • NPI 1134237829
  NPD (past)

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1366759805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HOKU PL",
            "city": "PAIA",
            "state": "HI",
            "postal_code": "967798122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W KAAHUMANU AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321643",
            "telephone_number": "808-984-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "KATHLEEN",
        "middle_name": "ANNETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "HI",
            "license": "RN 58675",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "HI",
            "license": "APRN 932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Guild, O.D.
• Domingo B. Gumpal
• Rodolfo Sagayadoro Gumtang Jr., LMT
• Andrew Gurevitz, RBT
• Destiny Eulalia Haas
• Sahar Haghdan
• Nikki Halaliku, RBT
• Hale Mahaolu
• Hale Mahaolu (Tri-Isle Personal Care, Inc. (Maui))
• Hale Mahaolu

• Student in an Organized Health Care Education/Training Program in Kahului, HI
• Providers in Kahului, HI by specialty
• Student in an Organized Health Care Education/Training Program in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.