Brenda Kay Hagemann, MSN, APRN, BC FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP300A Issued in ID

Practice address

701 Lewiston St
Cottonwood, ID 83522-9750

Phone

(208) 962-3267

Fax

(208) 962-2313

NPI assigned

May 24, 2005

Last updated

Sep 27, 2019By 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

Other names 1

• Ms. Brenda Kay Hewlett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clearwater Valley Hospital & Clinics Inc.

  dba Clearwater Valley Health

  • Rural Health Clinic/Center
  • Orofino, ID
  • NPI 1033153739
  NPD (past)
• St. Mary's Hospital Inc

  dba St. Mary's Health

  • Family Medicine Physician
  • Kamiah, ID
  • NPI 1568400562
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1992708671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N. 2ND AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "83864",
            "telephone_number": "208-263-0450",
            "fax_number": "208-962-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LEWISTON ST",
            "city": "COTTONWOOD",
            "state": "ID",
            "postal_code": "835229750",
            "telephone_number": "208-962-3267",
            "fax_number": "208-962-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEMANN",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, BC FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP300A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "HEWLETT",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "MSN, APRN, BC FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cottonwood Physical Therapy, PLLC
• Cottonwood Shelter Home Inc
• Margaret A Gehring, FNP
• Bryan Leon Gimmeson, LPC
• Holly Graham, LPC
• Nicholas B Henrie, MD
• Ronald Lee Jeanblanc II
• Tema Lynn Jessup, DO
• Andrew F Jones, DO
• Justin Leroy Jones, M.D.

• Nurse Practitioner in Cottonwood, ID
• Providers in Cottonwood, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.