Active NPI
Angela Hagan, B.S.
- Case Manager/Care Coordinator
- Ash Flat, AR
National Provider Identifier
1649310129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 714A Ash Flat Dr
Ash Flat, AR 72513 - Phone
- (870) 994-2106
- NPI assigned
- Feb 7, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AR | Primary |
Addresses
Primary practice location
714A Ash Flat Dr
Ash Flat, AR 72513
Mailing address
PO Box 73
Violet Hill, AR 72584-0073
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)
- Not enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649310129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73",
"city": "VIOLET HILL",
"state": "AR",
"postal_code": "725840073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714A ASH FLAT DR",
"city": "ASH FLAT",
"state": "AR",
"postal_code": "72513",
"telephone_number": "870-994-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "ANGELA",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ash Flat, AR
- Hayden Grady, RECOVERY ASSISTANT
- Cara Graham, RECOVERY ASSISTANT
- Natalee Griffith, RECOVERY ASSISTANT
- Jennifer Grigg
- Kristy Renee Groves, MSW, LMSW
- Heather Harlow
- Brenda Harris, RECOVERY ASSISTANT
- Health Resources of Arkansas, Inc.
- Jason Hellums, RECOVERY ASSISTANT
- Robert Henslee, RECOVERY ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.