JUDITH HAGGARD FNP NPI 1619088390

NPI Information

  • NPI: 1619088390
  • Provider Name: JUDITH HAGGARD, FNP
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 RUSSELL ST
    KENNETT, MO
    ZIP 63857
  • Phone: (573) 717-1332

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NPI Details

Judith Haggard, FNP is a nurse practitioner in Kennett, MO with 27 years of experience. The provider is (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. Judith Haggard, FNP NPI is 1619088390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

500 RUSSELL ST
KENNETT, MO
ZIP 63857-102
Phone: (573) 717-1332
Fax: (573) 717-1335

The NPI 1619088390 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Blood glucose (sugar) level (HCPCS:82947)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Hemoglobin a1c level (HCPCS:83036)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Urinalysis, manual test (HCPCS:81002)
  • Vitamin d-3 level (HCPCS:82306)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner048374MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1424691103MEDICAIDMISSOURI
2424691111MEDICAIDMISSOURI
3S94730MEDICARE UPIN
4805320626MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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