Haley Dawn Gosvener

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

692481 Issued in CA

Practice address

1234 Empire St Ste 2200
Fairfield, CA 94533-5711

Phone

(707) 648-8121

NPI assigned

Apr 23, 2018

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

Other identifiers 1

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1245728567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 PEABODY RD # A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945338907",
            "telephone_number": "707-208-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 EMPIRE ST STE 2200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335711",
            "telephone_number": "707-648-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSVENER",
        "first_name": "HALEY",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "692481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164X00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaridxi Gonzalez
• Venus Sherrill Goodwin, NONE
• Kimberly Allison Gordon, PHARM.D.
• Lora Lynne Gordon, CADC II
• Jerry Andrew Gorman, MSW
• Steven T. Gotanda, MD
• Sharon G Goudeau-Goodall
• Fredric Gough, MD
• Heather Robyn Gough, MSW, JD
• Richard B Gould, M.D.

• Licensed Vocational Nurse in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.