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KAITLIN O'HAGAN DO
NPI 1679196463
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Active since May 27, 2020PECOS Enrolled
3601 4TH ST # MS 9436, LUBBOCK, TX 79430(806) 743-2465(806) 743-1305 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaitlin O'hagan Do NPPES

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

KAITLIN O'HAGAN DO (NPI 1679196463) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679196463
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAITLIN O'HAGANCredential: DO
Location Address3601 4TH ST # MS 9436Lubbock, TX 79430-0002
Mailing Address3601 4th St # Ms 9436Lubbock, TX 79430-0002 · (806) 743-2465 · Fax (806) 743-1305
Phone(806) 743-2465
Fax(806) 743-1305
Sole ProprietorNo
Enumeration DateMay 27, 2020
NPPES CertifiedMay 27, 2020
✔ NPI 1679196463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3601 4TH ST # MS 9436, Lubbock, TX 79430
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin O'hagan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

DR. BRYANT FLORES MD
Student in an Organized Health Care Education/Training Program
3601 4TH ST # MS 9436
LUBBOCK, TX 79430
Lubbock County (806) 743-2465
DR. KADI LEE COOLEY MD
Student in an Organized Health Care Education/Training Program
3601 4TH ST # MS 9436
LUBBOCK, TX 79430
Lubbock County (806) 743-2465
DR. MATTHEW BLUE M.D.
Orthopaedic Surgery
3601 4TH ST # MS 9436
LUBBOCK, TX 79430
Lubbock County (806) 743-2465
DR. KEVIN ALLAN WEST M.D.
Orthopaedic Surgery
3601 4TH ST # MS 9436
LUBBOCK, TX 79430
Lubbock County (806) 743-2465

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 Kaitlin O'hagan's NPI number?

The NPI number for Kaitlin O'hagan is 1679196463. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Kaitlin O'hagan located?

Kaitlin O'hagan practices at 3601 4th St # Ms 9436, Lubbock, TX 79430. The listed phone number is (806) 743-2465.

What is Kaitlin O'hagan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kaitlin O'hagan enrolled in Medicare?

Yes. Kaitlin O'hagan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlin O'hagan was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.