Individual provider Active NPI

Egle D Haven, APRN-FNP

  • Nurse Practitioner
  • Naples, FL
National Provider Identifier
1093533630
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11035400 Issued in FL
Practice address
2335 Tamiami TRL N Ste 501
Naples, FL 34103-4459
Phone
(239) 237-4417
Fax
(239) 237-4418
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11035400 FL
Family Nurse Practitioner 363LF0000X APRN11035400 FL
Nurse Practitioner 363L00000X APRN11035400 FL Primary

Addresses

Primary practice location

2335 Tamiami TRL N Ste 501
Naples, FL 34103-4459

Mailing address

2335 Tamiami TRL N Ste 501
Naples, FL 34103-4459
Phone (239) 237-4417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213002271 FL Practitioner - Nurse Practitioner 6305372384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

2335 Tamiami TRL N
Suite 501
Naples, FL 34103-4459
Phone (239) 237-4417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11035400FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Healthcare Specialists, LLC CurrentSince Dec 30, 2024 Accepting new patients

Locations

6321 Daniels Pkwy
Ste 200
Fort Myers, FL 33912
Phone (855) 674-7400

13691 Metro Pkwy
Ste 300
Fort Myers, FL 33912
Phone (239) 291-6970

2335 Tamiami Trl N
Ste 501
Naples, FL 34103
Phone (239) 237-4417

2335 Tamiami Trl N
Ste 201
Naples, FL 34103

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: egle.haven.1@29246.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1093533630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 TAMIAMI TRL N STE 501",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034459",
            "telephone_number": "239-237-4417",
            "fax_number": "239-237-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 TAMIAMI TRL N STE 501",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034459",
            "telephone_number": "239-237-4417",
            "fax_number": "239-237-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEN",
        "first_name": "EGLE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11035400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035400",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11035400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.