Active NPI
Kathleen Joyce Havens, RN, BSN
- Registered Nurse
- Tucson, AZ
National Provider Identifier
1063639789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN069123
- Practice address
- 3233 S Pinal Vis
Tucson, AZ 85713-6554 - Phone
- (520) 225-3517
- Fax
- (520) 225-3515
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN069123 | AZ | Primary |
Addresses
Primary practice location
3233 S Pinal Vis
Tucson, AZ 85713-6554
Mailing address
7901 E Victoria Dr
Tucson, AZ 85730-3510
Phone (520) 745-5613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 684614 | Other | AZ | AHCCCS |
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN069123 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063639789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 E VICTORIA DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857303510",
"telephone_number": "520-745-5613",
"fax_number": "520-745-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3233 S PINAL VIS",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136554",
"telephone_number": "520-225-3517",
"fax_number": "520-225-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVENS",
"first_name": "KATHLEEN",
"middle_name": "JOYCE",
"name_prefix": "Ms.",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN069123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "684614",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.