Active NPI
Kathy K Hager, A.F.N.P.
- Nurse Practitioner
- Shelbyville, KY
National Provider Identifier
1790735637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2350P
- Practice address
- 130 Stonecrest Rd
Suite 106
Shelbyville, KY 40065-8126 - Phone
- (502) 647-1000
- Fax
- (502) 647-1006
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2350P | KY | Primary |
Addresses
Primary practice location
130 Stonecrest Rd
Suite 106
Shelbyville, KY 40065-8126
Mailing address
130 Stonecrest Rd
Suite 106
Shelbyville, KY 40065-8126
Phone (502) 647-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7800673 | Medicaid | KY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2350P | KY | MD | Nurse Practitioner |
Interoperability endpoints
- kathy.hager.1@20742.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1790735637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 STONECREST RD",
"address_2": "SUITE 106",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658126",
"telephone_number": "502-647-1000",
"fax_number": "502-647-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 STONECREST RD",
"address_2": "SUITE 106",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658126",
"telephone_number": "502-647-1000",
"fax_number": "502-647-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGER",
"first_name": "KATHY",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "A.F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "2350P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7800673",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.