Active NPI
Denise M Hager, APRN
- Nurse Practitioner
- Louisville, KY
National Provider Identifier
1427130624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3004611
- Practice address
- 3 Audubon Plaza Dr
Suite 430
Louisville, KY 40217-1300 - Phone
- (502) 636-4900
- Fax
- (502) 636-4901
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3004611 | KY | Primary |
Addresses
Primary practice location
3 Audubon Plaza Dr
Suite 430
Louisville, KY 40217-1300
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50030511 | Other | KY | PASSPORT/PASSPORT ADVANTAGE - NOTC |
| 000000684231 | Other | KY | ANTHEM - NOTC |
| 7100021680 | Medicaid | KY | |
| 000057058P | Other | KY | HUMANA - NOTC |
| 103858 | Other | KY | SIHO - NOTC |
| 3272494 | Other | KY | CIGNA - NOTC |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004611 | KY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1427130624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 AUDUBON PLAZA DR",
"address_2": "SUITE 430",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171300",
"telephone_number": "502-636-4900",
"fax_number": "502-636-4901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGER",
"first_name": "DENISE",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3004611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT/PASSPORT ADVANTAGE - NOTC",
"identifier": "50030511",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - NOTC",
"identifier": "000000684231",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100021680",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA - NOTC",
"identifier": "000057058P",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO - NOTC",
"identifier": "103858",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA - NOTC",
"identifier": "3272494",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.