Laura Hageman

Individual provider Active NPI Administrator Registered Nurse · Smith Center, KS

NPI 1467797142 · NPPES record last updated Jun 11, 2015

Key facts

NPI
1467797142
Entity type
Individual (NPI type 1)
Primary specialty
Administrator Registered Nurse 163WA2000X
License
13114804022 (KS)
Practice address
119 S Main St
Smith Center, KS 66967-2605
Phone
(785) 282-6656
Fax
(785) 282-3301
NPI assigned
Dec 6, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
13114804022KSMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Smith County Courthouse Past Accepting new patients
Smith County Courthouse Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 13114804022 KS
Administrator Registered Nurse 163WA2000X 13114804022 KS Yes

Addresses

Primary practice location

119 S Main St
Smith Center, KS 66967-2605

Mailing address

119 S Main St
Smith Center, KS 66967-2605
Phone (785) 282-6656

Other providers in Smith Center, KS

All providers in Smith Center, KS · Administrator Registered Nurse in Kansas

Sources for this page

Verify at the official NPI Registry.