Michele Anette Hagarty, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209-004878 Issued in IL

Practice address

300 W Lincoln St
Suite 402
Belleville, IL 62220-1987

Phone

(618) 277-0475

NPI assigned

Oct 10, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699862581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ACORN LAKE DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622214446",
            "telephone_number": "618-628-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W LINCOLN ST",
            "address_2": "SUITE 402",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201987",
            "telephone_number": "618-277-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGARTY",
        "first_name": "MICHELE",
        "middle_name": "ANETTE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-004878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041209241",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virgilio T Guzman, MD
• Gwinn Chiropractic Center
• Megan Renee Gwinn, D.C.
• Dolph D Haege, MD
• Sharon Faye Haege
• Dean David Hageman, M.D.
• Matthew Dean Hageman, MD
• Ganan Hahn, PA
• Jay W Haines II, M.D.
• Stephanie Renee Haines, DMD

• Family Nurse Practitioner in Belleville, IL
• Providers in Belleville, IL by specialty
• Family Nurse Practitioner in Illinois

• 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.

Verify at the official NPI Registry.