Suzanne Hagar, RN

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

129714 Issued in TN

Practice address

6022 Binnsville Rd
Scooba, MS 39358-7219

Phone

(615) 476-5063

NPI assigned

Dec 30, 2015

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

• Suzanne Bryan Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2015.

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1740645142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 BINNSVILLE RD",
            "city": "SCOOBA",
            "state": "MS",
            "postal_code": "393587219",
            "telephone_number": "615-476-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 BINNSVILLE RD",
            "city": "SCOOBA",
            "state": "MS",
            "postal_code": "393587219",
            "telephone_number": "615-476-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAR",
        "first_name": "SUZANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "TN",
            "license": "129714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "BRYAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Bontrager, ATC
• East Mississippi Community College
• Greater Meridian Health Clinic, Inc.
• Qyhdijha Ivy
• Elizabeth McMahan, FNP
• Ryota Nakagi
• Madilyn Hope Peters, LAT, ATC
• Dorothy Richardson

• All providers in Scooba, MS
• Neonatal Intensive Care Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.