Trena L Dagenhart, R.N.

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

25999 Issued in AK

Practice address

222 Tongass Dr
Sitka, AK 99835-9416

Phone

(907) 366-2411

NPI assigned

Apr 10, 2009

Last updated

Apr 10, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Trena L Hirsch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1558504225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 HALIBUT POINT RD # B",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359507",
            "telephone_number": "907-966-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 TONGASS DR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359416",
            "telephone_number": "907-366-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGENHART",
        "first_name": "TRENA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "AK",
            "license": "25999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRENA",
            "last_name": "HIRSCH",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marilyn C Coruzzi, MD
• Jeremiah Craig
• Heather Jordan Cromwell, PH.D., LPC
• Susan Cross
• Michelle M Curtis, RN
• Colleen Dahlquist, RN
• Ellen Daly
• Christine Dangel, RN
• Elise Davidson
• Emily Davis, PSYD

• Ambulatory Care Registered Nurse in Sitka, AK
• Providers in Sitka, AK by specialty
• Ambulatory Care Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.