NPI Code Detail JSON Logo

1487695714 NPI number — JOANNA MARIE HAGEN ARNP

NPI Number: 1487695714
Health Care Provider/Practitioner: JOANNA MARIE HAGEN ARNP

Information about “1487695714” NPI (JOANNA MARIE HAGEN ARNP) exists in 1487695714 in HTML format HTML  |  1487695714 in plain Text format TXT  |  1487695714 in PDF (Portable Document Format) PDF  |  1487695714 in an XML format XML  formats.

NPI Number : 1487695714 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487695714",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAGEN",
    "FirstName": "JOANNA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NEWTON",
    "OtherFirstName": "JOANNA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "ARNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7713 CENTER BLVD SE STE 160",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SNOQUALMIE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98065-6309",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-292-3347",
    "MailingAddressFaxNumber": "425-738-3020",
    "FirstLinePracticeLocationAddress": "7713 CENTER BLVD SE STE 160",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SNOQUALMIE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98065-6309",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-292-3347",
    "PracticeLocationAddressFaxNumber": "425-738-3020",
    "EnumerationDate": "06/09/2006",
    "LastUpdateDate": "09/23/2025",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "AP30006257",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "AP30006257",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "AP30006257",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "AP30006257",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "AP30006257",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "AP30006257",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "AP30006257",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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