Kelly Denise Haskins, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN170617 Issued in AZ

Practice address

20565 N 19TH Ave
Phoenix, AZ 85027-3563

Phone

(602) 899-4404

NPI assigned

Feb 26, 2020

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1104450469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41638",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850801638",
            "telephone_number": "602-899-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20565 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273563",
            "telephone_number": "602-899-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "KELLY",
        "middle_name": "DENISE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN170617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdul Samad Hashimi, MD
• Luis Alejando Hashimoto, M.D.
• Tomoki Hashimoto, MD
• Kazi Hasin, PTA
• Stefan Hasinski, M.D.
• Paris Hasl
• Mohammed Tahir Hasoon, M.D.
• Alyssa S Haspel-Siegel, FNP
• Lauren K. Hasquet, PT
• Aly Salah-Eldin Aly Hassan, MD

• Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.