Country Clinic PC
NPI 1740561562ActiveOrganization· Nurse Practitioner, Family· Queen Creek, AZ
Nurse Practitioner, Family in Queen Creek, Arizona, registered in NPPES in September 2011. The authorized official on file is Katherine C. Hakeman, NP, President.
Overview
| NPI | 1740561562 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2011 |
| Last updated in NPPES | Mar 14, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP2088 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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