Individual provider Active NPI

Brandilyn Hagmeier

  • Licensed Practical Nurse
  • Anchorage, AK
National Provider Identifier
1770977902
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
6005 Issued in AK
Practice address
2204 Cleveland Ave Ste 201
Anchorage, AK 99517-3011
Phone
(907) 602-5018
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 6005 AK Primary

Addresses

Primary practice location

2204 Cleveland Ave Ste 201
Anchorage, AK 99517-3011

Mailing address

2204 Cleveland Ave Ste 201
Anchorage, AK 99517-3011
Phone (907) 602-5018

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

State licenses

LicenseStateTypeSpecialty
6005AKMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1770977902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 CLEVELAND AVE STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995173011",
            "telephone_number": "907-602-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 CLEVELAND AVE STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995173011",
            "telephone_number": "907-602-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGMEIER",
        "first_name": "BRANDILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "6005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.