NPIMap

Individual provider Active NPI

Sarah Marie Hagan, LMP

  • Massage Therapist
  • Lynnwood, WA
National Provider Identifier
1801082995
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00024731 Issued in WA
Practice address
19713 Scriber Lake Rd
Suite G
Lynnwood, WA 98036-6162
Phone
(425) 672-1822
Fax
(425) 744-0996
NPI assigned
Sep 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00024731 WA Primary

Addresses

Primary practice location

19713 Scriber Lake Rd
Suite G
Lynnwood, WA 98036-6162

Mailing address

19713 Scriber Lake Rd
Suite G
Lynnwood, WA 98036-6162
Phone (425) 672-1822

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
MA00024731WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hagen Chiropractic Center Inc Past Accepting new patients
Hagen Chiropractic Clinic Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1801082995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19713 SCRIBER LAKE RD",
            "address_2": "SUITE G",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366162",
            "telephone_number": "425-672-1822",
            "fax_number": "425-744-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19713 SCRIBER LAKE RD",
            "address_2": "SUITE G",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366162",
            "telephone_number": "425-672-1822",
            "fax_number": "425-744-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.