Active NPI
Anne Elizabeth Hagbom, RN, PNP
- Pediatric Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1871855940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 85837
- Practice address
- 400 Parnassus Ave
Pediatric Prepare, 3Rd Floor
San Francisco, CA 94143-2202 - Phone
- (415) 353-8529
- NPI assigned
- Jun 13, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 641070 | CA | |
| Pediatric Nurse Practitioner | 363LP0200X | 85837 | CA | Primary |
Addresses
Primary practice location
400 Parnassus Ave
Pediatric Prepare, 3Rd Floor
San Francisco, CA 94143-2202
Mailing address
400 Parnassus Ave
Pediatric Prepare, 3Rd Floor
San Francisco, CA 94143-2202
Phone (415) 353-8529
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
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85837 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1871855940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PARNASSUS AVE",
"address_2": "PEDIATRIC PREPARE, 3RD FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432202",
"telephone_number": "415-353-8529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PARNASSUS AVE",
"address_2": "PEDIATRIC PREPARE, 3RD FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432202",
"telephone_number": "415-353-8529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGBOM",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"credential": "RN, PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-13",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "CA",
"license": "641070",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "85837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.