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

Last updated

Dec 30, 2015By 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

Other names 1

• Suzanne Bryan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "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 (EMCC Sports Medicine)
• Greater Meridian Health Clinic, Inc. (Scooba Family Medical Clinic)
• Qyhdijha Ivy
• Elizabeth McMahan, FNP
• Ryota Nakagi
• Madilyn Hope Peters, LAT, ATC
• Dorothy Richardson

• Neonatal Intensive Care Registered Nurse in Scooba, MS
• Providers in Scooba, MS by specialty
• 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.