Active NPI
Catherine P Hagerman, CRNA
- Certified Registered Nurse Anesthetist
- Portland, ME
National Provider Identifier
1962590430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 022890
- Practice address
- 716 Stevens Ave
Msna, Une
Portland, ME 04103-2656 - Phone
- (207) 351-2400
- NPI assigned
- Oct 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 022890 | ME | Primary |
Addresses
Primary practice location
716 Stevens Ave
Msna, Une
Portland, ME 04103-2656
Mailing address
3 Barley LN
Scarborough, ME 04074-8442
Phone (207) 883-7157
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022890 | ME | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1962590430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BARLEY LN",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040748442",
"telephone_number": "207-883-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 STEVENS AVE",
"address_2": "MSNA, UNE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032656",
"telephone_number": "207-351-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGERMAN",
"first_name": "CATHERINE",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "022890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.