Individual provider Active NPI

Cassandra Havenor, L.AC.

  • Acupuncturist
  • Golden Valley, MN
National Provider Identifier
1245842582
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1922 Issued in MN
Practice address
8085 Wayzata Blvd Ste 10
Golden Valley, MN 55426-1472
Phone
(651) 434-1998
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1922 MN Primary

Addresses

Primary practice location

8085 Wayzata Blvd Ste 10
Golden Valley, MN 55426-1472

Mailing address

8085 Wayzata Blvd Ste 10
Golden Valley, MN 55426-1472
Phone (651) 434-1998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1922MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Everybody Healing Center LLC Acupuncturist CurrentSince Aug 23, 2020 Accepting new patients

Locations

8085 Wayzata Blvd
Ste 10
Minneapolis, MN 55426
Phone (612) 221-6930

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1245842582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 WAYZATA BLVD STE 10",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261472",
            "telephone_number": "651-434-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8085 WAYZATA BLVD STE 10",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261472",
            "telephone_number": "651-434-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENOR",
        "first_name": "CASSANDRA",
        "name_prefix": "Dr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.