Individual provider Active NPI

Lauren Lyvers Haukap, CPNP

  • Pediatric Nurse Practitioner
  • Swansea, IL
National Provider Identifier
1023651247
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209.024235041.441413 Issued in IL
Practice address
4969 Benchmark Centre Dr Ste 100
Swansea, IL 62226-8928
Phone
(618) 235-2311
NPI assigned
Oct 21, 2019
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209.024235041.441413 IL Primary
Pediatrics Physician 208000000X 041-441413 IL

Addresses

Primary practice location

4969 Benchmark Centre Dr Ste 100
Swansea, IL 62226-8928

Mailing address

246 Fieldspring CT
O Fallon, IL 62269-7140
Phone (618) 604-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041-441413ILMDPediatrics Physician
209.024235041.441413ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation Inc Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lauren.haukap.1@9559.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1023651247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FIELDSPRING CT",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697140",
            "telephone_number": "618-604-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4969 BENCHMARK CENTRE DR STE 100",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622268928",
            "telephone_number": "618-235-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUKAP",
        "first_name": "LAUREN",
        "middle_name": "LYVERS",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.024235041.441413",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "041-441413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.