Active NPI
Nicholas Leigh Hagness-Duren
- Marriage & Family Therapist
- Minneapolis, MN
National Provider Identifier
1407190051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2600
- Practice address
- 1121 E 46TH St
Minneapolis, MN 55407-3562 - Phone
- (612) 204-8284
- NPI assigned
- Nov 20, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2600 | MN | Primary |
Addresses
Primary practice location
1121 E 46TH St
Minneapolis, MN 55407-3562
Mailing address
2216 McAfee Cir
Maplewood, MN 55109-2536
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2600 | MN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1407190051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2216 MCAFEE CIR",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551092536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 E 46TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073562",
"telephone_number": "612-204-8284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGNESS-DUREN",
"first_name": "NICHOLAS",
"middle_name": "LEIGH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-20",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.