Active NPI
Julia Hagen, COTA
- Custodial Care Facility
- Napa, CA
National Provider Identifier
1437465887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 1974
- Practice address
- 1532 Jefferson Street
Napa, CA 94559 - Phone
- (507) 402-7090
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 1974 | CA | Primary |
Addresses
Primary practice location
1532 Jefferson Street
Napa, CA 94559
Mailing address
17124 760TH Ave
Albert Lea, MN 56007-5609
Phone (507) 402-7090
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 |
|---|---|---|---|
| 1974 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1437465887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17124 760TH AVE",
"city": "ALBERT LEA",
"state": "MN",
"postal_code": "560075609",
"telephone_number": "507-402-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 JEFFERSON STREET",
"city": "NAPA",
"state": "CA",
"postal_code": "94559",
"telephone_number": "507-402-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEN",
"first_name": "JULIA",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "CA",
"license": "1974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.