Caroline G Habaradas, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

9834 Issued in NV

Practice address

1200 Mountain St
Carson City, NV 89703-3821

Phone

(775) 283-5075

NPI assigned

Jan 30, 2006

Last updated

Feb 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Meadows Medical Group of California, Inc.

  dba Tahoe Women's Care

  • Obstetrics & Gynecology Physician
  • S Lake Tahoe, CA
  • NPI 1972630432
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1073584785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033821",
            "telephone_number": "775-283-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033821",
            "telephone_number": "775-283-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABARADAS",
        "first_name": "CAROLINE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A75376",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "9834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073584785",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel F. Gunnarson, PHD
• Madison M Gurries, AUD
• Alyssa Gutschick, M.S., CCC-SLP
• Catherine Guzy
• Elizabeth Katharine Haase, MD
• Sarah N. Hale-Byron, PHARMD
• Brian Hall, M.D.
• John C. Hall, D.M.D.
• Mandy Hall, LCSW
• Zuzana Hall, M.D.

• Obstetrics & Gynecology Physician in Carson City, NV
• Providers in Carson City, NV by specialty
• Obstetrics & Gynecology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.