Johanna Kirsten Hagelthorn

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

504522-1 Issued in NY

Practice address

70 Kukuk LN
Kingston, NY 12401-6943

Phone

(845) 336-2616

NPI assigned

Jul 2, 2012

Last updated

Jul 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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.

• Center for Spectrum Services

  • Developmentally Disabled Services Day Training Agency
  • Kingston, NY
  • NPI 1922251313
  NPD (past)

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1841554193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 KUKUK LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016943",
            "telephone_number": "845-336-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KUKUK LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016943",
            "telephone_number": "845-336-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGELTHORN",
        "first_name": "JOHANNA",
        "middle_name": "KIRSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "504522-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Gulnick
• Margaret Grace Gunther, LMHC
• Carolye Gurvitch, LMT
• Nasser Habeeb, D.D.S., P.C.
• Nicole Marie Hack, FNP-BC
• Thomas A. Hagerty, MD
• Michael Stewart Hahn, M.D.
• Amanda Haight, LCSW
• Hal N. Buch, MD PC
• David J Hall, MD

• Registered Nurse in Kingston, NY
• Providers in Kingston, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.