Adrienne Hagan, CCCSLPL

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0001244 Issued in CO

Practice address

1533 Crest View Way Apt 3
Grand Junction, CO 81506-5204

Phone

(970) 242-6304

NPI assigned

Aug 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1932689221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 CREST VIEW WAY APT 3",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815065204",
            "telephone_number": "970-242-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 CREST VIEW WAY APT 3",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815065204",
            "telephone_number": "970-242-6304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815013451",
            "country_code": "US",
            "telephone_number": "970-256-8661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "ADRIENNE",
        "credential": "CCCSLPL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0001244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES (DORA)",
            "identifier": "SLP.0001244",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Hackett, L.M.T.
• Robert D Hackett, M.D.
• Kit William Haddow, D.D.S.
• Cynthia Louise Haerle
• Christian C Hafey
• Desiree N Hagan, LSW
• Dillon Michael Hagan, PHARMD
• Anna Christine Hage
• Kassidy Jolynn Hagerman
• Julianna Haggard

• Speech-Language Pathologist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.