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THERESA HAGANS
NPI 1063996890
Nurse Practitioner in Utica, NY

Active since September 18, 2018
1450 CHAMPLIN AVE STE 1, UTICA, NY 13502(315) 624-9000(315) 624-9003 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 5, 2019, Sep 18, 2018 (2 updates tracked since 2018).

About Theresa Hagans NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA HAGANS (NPI 1063996890) is an individual nurse practitioner in Utica, New York, licensed in New York (343415) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1063996890
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTHERESA HAGANS
Location Address1450 CHAMPLIN AVE STE 1Utica, NY 13502-3662
Mailing Address1450 Champlin Ave Ste 1Utica, NY 13502-3662 · (315) 624-9000 · Fax (315) 624-9003
Phone(315) 624-9000
Fax(315) 624-9003
Sole ProprietorNo
Enumeration DateSeptember 18, 2018
Last NPPES UpdateMarch 5, 20192 updates tracked since enumeration
✔ NPI 1063996890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 343415
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1450 CHAMPLIN AVE STE 1, Utica, NY 13502
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILE WASSEL MD
Internal Medicine (Nephrology)
1450 CHAMPLIN AVE STE 1
UTICA, NY 13502
Oneida County (315) 624-9004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Hagans's NPI number?

The NPI number for Theresa Hagans is 1063996890. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Theresa Hagans located?

Theresa Hagans practices at 1450 Champlin Ave Ste 1, Utica, NY 13502. The listed phone number is (315) 624-9000.

What is Theresa Hagans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Theresa Hagans was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.