NPI Code Detail JSON Logo

1316830144 NPI number — REBECCA ANN HAGAN RN

NPI Number: 1316830144
Health Care Provider/Practitioner: REBECCA ANN HAGAN RN

Information about “1316830144” NPI (REBECCA ANN HAGAN RN) exists in 1316830144 in HTML format HTML  |  1316830144 in plain Text format TXT  |  1316830144 in PDF (Portable Document Format) PDF  |  1316830144 in an XML format XML  formats.

NPI Number : 1316830144 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316830144",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAGAN",
    "FirstName": "REBECCA",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DAUGHETY",
    "OtherFirstName": "REBECCA",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1002 PLANTERS TRAIL CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KNIGHTDALE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27545-8893",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "252-864-9775",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10211 ALM ST STE 1200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RALEIGH",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27617-8221",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-206-4889",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/30/2025",
    "LastUpdateDate": "05/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "163WP2201X",
        "TaxonomyName": "Ambulatory Care Registered Nurse",
        "LicenseNumber": "294975",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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