Active NPI
Nancy Ann Haugen, LAT
- Athletic Trainer
- Whitewater, WI
National Provider Identifier
1265459937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 61-039
- Practice address
- 1461 W Main St
Suite F
Whitewater, WI 53190-1568 - Phone
- (262) 473-5599
- Fax
- (262) 473-8522
- NPI assigned
- Jul 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 61-039 | WI | Primary |
Addresses
Primary practice location
1461 W Main St
Suite F
Whitewater, WI 53190-1568
Mailing address
225 Lakeview Dr
Whitewater, WI 53190-2216
Phone (262) 473-7842
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61-039 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265459937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 LAKEVIEW DR",
"city": "WHITEWATER",
"state": "WI",
"postal_code": "531902216",
"telephone_number": "262-473-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1461 W MAIN ST",
"address_2": "SUITE F",
"city": "WHITEWATER",
"state": "WI",
"postal_code": "531901568",
"telephone_number": "262-473-5599",
"fax_number": "262-473-8522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGEN",
"first_name": "NANCY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "61-039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitewater, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.