Nancy Lynn Haberman, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN00116129 Issued in WA

Practice address

12523 200TH Ave SE
Issaquah, WA 98027-8520

Phone

(206) 619-3457

Fax

(425) 430-2604

NPI assigned

Sep 19, 2013

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1093141293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12523 200TH AVE SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278520",
            "telephone_number": "206-619-3457",
            "fax_number": "425-430-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12523 200TH AVE SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278520",
            "telephone_number": "206-619-3457",
            "fax_number": "425-430-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMAN",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "RN00116129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akash Gupta, MD
• Deepak Gupta
• Kimberly Gursky
• Colin Guthrie
• Khanie Ha, LAC, MSW
• Rylee Danielle Haffey, OTR/L
• Samer R Hafi, M.D.
• Patricia Hagedon
• Sarah R Hager, DPT
• Marissa Hahn, MD

• General Practice Registered Nurse in Issaquah, WA
• Providers in Issaquah, WA by specialty
• General Practice Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.