Karen Cavender Hackmann, GCNS

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

089691 Issued in MO

Practice address

1 Hospital Dr
MC11 (Dco92.10)
Columbia, MO 65212-0001

Phone

(573) 884-9924

Fax

(573) 884-5735

NPI assigned

May 1, 2008

Last updated

May 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• University of Mo Health Care

  • General Acute Care Hospital
  • Columbia, MO
  • NPI 1669642344
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1750557633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "MC11 (DCO92.10)",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "573-884-9924",
            "fax_number": "573-884-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "MC11 (DCO92.10)",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "573-884-9924",
            "fax_number": "573-884-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKMANN",
        "first_name": "KAREN",
        "middle_name": "CAVENDER",
        "name_prefix": "Ms.",
        "credential": "GCNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MO",
            "license": "089691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Reed Haase, M.D.
• Michael Habhab, MD
• Mustafa J Habib, MD
• Ayaaz A Habibullah, MD
• Haby Peace at Home LLC
• Payton Scot Hackmann, FNP-C
• Oe Suk Hackney, ACNPC-AG
• Tina Haden
• Stephen Patrick Hadford, MD
• Amanda Hadley

• Gerontology Clinical Nurse Specialist in Columbia, MO
• Providers in Columbia, MO by specialty
• Gerontology Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.