Brianna Marie Hagenow

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

Lutheran Social Services of Wi
830 Edgewood Drive
Green Bay, WI 54311

Phone

(920) 471-3346

NPI assigned

Apr 8, 2020

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

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1922637180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LUTHERAN SOCIAL SERVICES OF WI",
            "address_2": "830 EDGEWOOD DRIVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LUTHERAN SOCIAL SERVICES OF WI",
            "address_2": "830 EDGEWOOD DRIVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54311",
            "telephone_number": "920-471-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENOW",
        "first_name": "BRIANNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William Haen
• Sally Lynn Haen, NP
• Sara Haen
• Omeed Hafez
• Rance Jay Hafner, MD
• Rosa Beatriz Hagerstrom
• Adam J Haggerty, D.O.
• Brandy Jo Hahn, LPC-IT
• Hair Response
• Dolly M Hakanen, C.R.N.A.

• Case Manager/Care Coordinator in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.