Kelly Mandigo Haven, RN, CDCES

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

026.0104043 Issued in VT

Practice address

111 Colchester Ave
Burlington, VT 05401-1473

Phone

(802) 847-6200

NPI assigned

May 7, 2025

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1255121984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 WOODBURY RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054085716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEN",
        "first_name": "KELLY",
        "middle_name": "MANDIGO",
        "credential": "RN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "VT",
            "license": "026.0104043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camdyn Hastings, COTA
• Tyler Hastings, MD
• Kimberly Hatgen, LADC
• Skylar Haugenes
• Holly Dale Hauser, LICSW
• Annika Hawkins-Hilke, NP
• Sasha Hawkins
• Robin Rickey Hayden, APRN, BC
• Terrence M Hayden, LICSW
• Hayes Physical Therapy PLC

• Diabetes Educator Registered Nurse in Burlington, VT
• Providers in Burlington, VT by specialty
• Diabetes Educator Registered Nurse in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.