Individual provider Active NPI

Lisa Hagerman, RN

  • Registered Nurse
  • Denver, CO
National Provider Identifier
1770125593
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
117960 Issued in CO
Practice address
3674 Dexter St
Denver, CO 80207
Phone
(970) 389-8412
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95127678 CA
Registered Nurse 163W00000X 2458551 MN
Registered Nurse 163W00000X 26NR20034100 NJ
Registered Nurse 163W00000X RN2305002 MA
Registered Nurse 163W00000X 764150 NY
Registered Nurse 163W00000X 201808295RN OR
Registered Nurse 163W00000X RN706156 PA
Registered Nurse 163W00000X RN59742 RI
Registered Nurse 163W00000X RN60965213 WA
Registered Nurse 163W00000X 117960 CO Primary

Addresses

Primary practice location

3674 Dexter St
Denver, CO 80207

Mailing address

3674 Dexter St
Denver, CO 80207
Phone (970) 389-8412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95127678CAMDRegistered Nurse
117960COMDRegistered Nurse
RN2305002MAMDRegistered Nurse
2458551MNMDRegistered Nurse
26NR20034100NJMDRegistered Nurse
764150NYMDRegistered Nurse
201808295RNORMDRegistered Nurse
RN706156PAMDRegistered Nurse
RN59742RIMDRegistered Nurse
RN60965213WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1770125593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3674 DEXTER ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80207",
            "telephone_number": "970-389-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 DEXTER ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80207",
            "telephone_number": "970-389-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERMAN",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95127678",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2458551",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR20034100",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2305002",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "764150",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201808295RN",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN706156",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN59742",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60965213",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "117960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.