Lia Marie Hagens

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

220339-7 Issued in MN

Practice address

2200 23Rd St NE
Suite 1080
Willmar, MN 56201-6605

Phone

(320) 231-7860

Fax

(320) 231-7888

NPI assigned

Jan 15, 2015

Last updated

Jan 15, 2015By 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

• Miss Lia Marie Foggia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• County of Kandiyohi

  dba Kandiyohi County Public Health

  • Public Health or Welfare Agency
  • Willmar, MN
  • NPI 1073676540
  NPD (past)

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1588053490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6197 KALENDA CT NE",
            "address_2": "APT 209",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553019608",
            "telephone_number": "320-231-7860",
            "fax_number": "320-231-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 23RD ST NE",
            "address_2": "SUITE 1080",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562016605",
            "telephone_number": "320-231-7860",
            "fax_number": "320-231-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENS",
        "first_name": "LIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "220339-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIA",
            "last_name": "FOGGIA",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan C Haas, MD
• Brenda Lynn Habedank, RPH
• Jon Haefner, D.C.
• Carly Hagemeyer, PHARM.D.
• Hagen Orthotics and Prosthetics
• Lee M Haggenjos, MD
• Hallowstone Willmar Operating LLC
• Kevin R Hallstrom, DDS
• Cheryl Block Hansen, LICSW
• Juile Ann Hansen, PHARM D

• Community Health Registered Nurse in Willmar, MN
• Providers in Willmar, MN by specialty
• Community Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.