Active NPI
Judith Marie Hager, NP
- Psychiatric/Mental Health Nurse Practitioner
- Urbandale, IA
National Provider Identifier
1629475462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G157435
- Practice address
- 14321 Dellwood Dr
Urbandale, IA 50323-2096 - Phone
- (515) 321-4663
- NPI assigned
- Nov 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G157435 | IA | Primary |
| Family Nurse Practitioner | 363LF0000X | A157005 | IA |
Addresses
Primary practice location
14321 Dellwood Dr
Urbandale, IA 50323-2096
Mailing address
14321 Dellwood Dr
Urbandale, IA 50323-2096
Phone (515) 321-4663
Other practice location 1
1223 Center St Ste 22
Des Moines, IA 50309-1016
Phone (515) 218-6125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A157005 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Rivers Recovery, LLC | Current | Accepting new patients | |
| Sondermind, P.a. | Psychiatric/Mental Health | Current | Accepting new patients |
| First Step Wellness LLC | Current | Accepting new patients | |
| Covert Action LLC | Past | Accepting new patients |
Locations
699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920
801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353
Organizations & group practices 4
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.
-
- Adult Mental Health Clinic/Center
- Urbandale, IA
- NPI 1598379067
-
- Substance Abuse Rehabilitation Facility
- Urbandale, IA
- NPI 1154955649
-
- Methadone Clinic
- Des Moines, IA
- NPI 1700390101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1629475462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14321 DELLWOOD DR",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503232096",
"telephone_number": "515-321-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14321 DELLWOOD DR",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503232096",
"telephone_number": "515-321-4663"
}
],
"practiceLocations": [
{
"address_1": "1223 Center St Ste 22",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503091016",
"country_code": "US",
"telephone_number": "515-218-6125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAGER",
"first_name": "JUDITH",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-21",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G157435",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A157005",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.