Elizabeth Anne Hagan

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD61296052 Issued in WA

Practice address

22635 NE Marketplace Dr
Redmond, WA 98053-5885

Phone

(425) 898-7408

Fax

(425) 898-7409

NPI assigned

Mar 17, 2019

Last updated

Jul 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Multicare Health System

  dba Covington MultiCare Clinic

  • Family Medicine Physician
  • Covington, WA
  • NPI 1093768657
  NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics

  dba Redmond Ridge

  • Pediatrics Physician
  • Redmond, WA
  • NPI 1396819975
  NPD (past)
• Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics

  dba Sammamish

  • Pediatrics Physician
  • Sammamish, WA
  • NPI 1699849331
  NPD (past)

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1649739988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22635 NE MARKETPLACE DR STE 120",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535886",
            "telephone_number": "425-898-7408",
            "fax_number": "425-898-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22635 NE MARKETPLACE DR",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535885",
            "telephone_number": "425-898-7408",
            "fax_number": "425-898-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-17",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD61296052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Guterson
• Carolyn Claire Gutshall, LMHCA
• Anthony Guynes, M.D.
• H Dental Group LLC (Overlake Family Dental Center)
• Sage Jihyun Ha, L.AC.
• David M Hagel, D.D.S., P.S.
• Jenson James Hagen, N.D.
• Jewel N Hagen, CRNA
• Haggen Opco North LLC (Haggen Pharmacy #109)
• Patrick Lefebvre Hains, LICSW

• Pediatrics Physician in Redmond, WA
• Providers in Redmond, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; 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.

Verify at the official NPI Registry.