Active NPI
Heidi C Hagen, DPM
- Foot Surgery Podiatrist
- Blue Springs, MO
National Provider Identifier
1538120282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 000627
- Practice address
- 1956 NW Copper Oaks Cir
Blue Springs, MO 64015-8300 - Phone
- (816) 228-6995
- Fax
- (816) 228-8672
- NPI assigned
- Mar 31, 2006
- Last updated
- May 19, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 12-00287 | KS | |
| Foot Surgery Podiatrist | 213ES0131X | 000627 | MO | Primary |
Addresses
Primary practice location
1956 NW Copper Oaks Cir
Blue Springs, MO 64015-8300
Mailing address
9119 W 74TH St
Overland Park, KS 66204-2229
Phone (913) 677-3600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400719 | Other | MO | BLUE SHIELD TOPEKA |
| 24240033 | Other | MO | BLUE CROSS BLUE SHIELD MO |
| 400719 | Other | KS | BLUE SHIELD TOPEKA |
| 24240023 | Other | KS | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000627 | MO | MD | Foot Surgery Podiatrist |
Interoperability endpoints
- heidihagen@fskcpa.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1538120282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9119 W 74TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662042229",
"telephone_number": "913-677-3600",
"fax_number": "913-432-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1956 NW COPPER OAKS CIR",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640158300",
"telephone_number": "816-228-6995",
"fax_number": "816-228-8672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEN",
"first_name": "HEIDI",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "KS",
"license": "12-00287",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MO",
"license": "000627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD TOPEKA",
"identifier": "400719",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MO",
"identifier": "24240033",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD TOPEKA",
"identifier": "400719",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "24240023",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.