Erin Hagengruber, BSN, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN2258063 Issued in MA

Practice address

16 Kingsboro Park
Apt. 1
Jamaica Plain, MA 02130-2125

Phone

(617) 320-7451

NPI assigned

May 27, 2009

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1740415215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 KINGSBORO PARK",
            "address_2": "APT. 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 KINGSBORO PARK",
            "address_2": "APT. 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302125",
            "telephone_number": "617-320-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENGRUBER",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "RN2258063",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "ID",
            "license": "N-32951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Hadingham
• April Haefner, MSW
• Zoe Haemer, M.D.
• Hope Haff, M.S.W.
• Karen Hagen
• Alyssa Halczli, PHARMD
• Chrsitine Halkett
• Ashlee Hall
• Shaiyar Hall
• Tedra Lynn Hall, LICSW

• General Practice Registered Nurse in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• General Practice Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.