Autumn Rose Hastedt

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.023810 Issued in OH

Practice address

390 Independence Dr
Napoleon, OH 43545-9194

Phone

(419) 592-7966

Fax

(419) 599-0635

NPI assigned

Jan 17, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frey Clinic of Chiropractic Inc

  • Chiropractor
  • Napoleon, OH
  • NPI 1689740409
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1013425644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10906 COUNTY ROAD H",
            "city": "HAMLER",
            "state": "OH",
            "postal_code": "435249766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 INDEPENDENCE DR",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459194",
            "telephone_number": "419-592-7966",
            "fax_number": "419-599-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTEDT",
        "first_name": "AUTUMN",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.023810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Growing Roots Counseling, LLC
• Janaye L. Guess, LSW
• Erast J Haftkowycz, MD
• David John Hammersmith, LISW
• Katie Harmon, RN
• Healthier Beginnings Henry County
• Robert Jeffrey Heinrichs, DDS
• Henry County Auditors Office
• Henry County Auditors Office
• Henry County Auditors Office

• Massage Therapist in Napoleon, OH
• Providers in Napoleon, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.