Emily Hagedorn

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024187009 Issued in VA

Practice address

4452 Virginia Beach Blvd Ste 103
Virginia Beach, VA 23462-3396

Phone

(757) 932-4172

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By 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

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1982482675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 FOREST BROOK CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 VIRGINIA BEACH BLVD STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623396",
            "telephone_number": "757-932-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEDORN",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024187009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Samuel Haden, M.D.
• Hafiz M Sharawi DDS PLLC
• Melanie Haga
• Gina Hagan, LPTA
• Grace Marie Hagan
• Donna Marie Hager
• Mark Estes Haggerty, D.O.
• Susan Hagy, PHARMD
• Dereje Zewde Haile, MD
• Michael Tesfaye Hailemariam

• Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.