Debra Ann Haag, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP007130 Issued in PA

Practice address

3030 Chestnut St
Lebanon, PA 17042-2518

Phone

(717) 273-8000

Fax

(717) 273-8244

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Advanced Treatment Systems, LLC

  • Methadone Clinic
  • Lebanon, PA
  • NPI 1700996790
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1619086238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 STRACKS DAM RD",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672165",
            "telephone_number": "717-866-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 CHESTNUT ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170422518",
            "telephone_number": "717-273-8000",
            "fax_number": "717-273-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAG",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "RN240778L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Marie Gutekunst, CNA
• Ernesto Gutierrez, MD
• Lorraine Gutierrez
• Patricia Guzowski, M.D.
• Meghan Gwinn, PA-C
• Randy Habecker, RPH
• Reid W Habecker, R.PH.
• Yasir Ahamed Habeeb Mohamed, MS, LPC
• Brian Hackman, MSW, LSW
• Benjamin Hagan, MD

• Family Nurse Practitioner in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.