Maake Mau Hautau

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

9045 S 1300 E Ste 200
Sandy, UT 84094-3134

Phone

(801) 666-6834

NPI assigned

Apr 14, 2020

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2020.

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1164041679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 S 1300 E STE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943134",
            "telephone_number": "801-666-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 S 1300 E STE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943134",
            "telephone_number": "801-666-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUTAU",
        "first_name": "MAAKE",
        "middle_name": "MAU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KaleidaCare",
            "affiliation": "N",
            "endpointDescription": "KaleidaCare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9045 S 1300 E Ste 200",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840943134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Marie Harris, LMFT
• Paul E. Harrison, M.D.
• Mark L Harshany, MD
• Jared Haslam, D.C.
• David B Hasleton, MD
• Tonya Lynn Hauver, BCBA
• Sitiveni T Havili
• Anu Hawatmeh, RPH
• Grant E Hawkins, MD
• Collins Peter Haws

• All providers in Sandy, UT
• Community Health Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.