Kathryn a. Havis-Faler

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

3724 Issued in CA

Legal business name

KATHRYN A. HAVIS-FALER

Practice address

1990 Fruitdale Ave
San Jose, CA 95128-2709

Phone

(408) 998-8447

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Kathryn A Havis-Faler, OTR/L

Title

Occupational Therapist

Phone

(916) 835-2002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1265817597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MOROCCO DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255823",
            "telephone_number": "408-439-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 FRUITDALE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282709",
            "telephone_number": "408-998-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN A. HAVIS-FALER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "HAVIS-FALER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "916-835-2002",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "3724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in San Jose, CA
• Providers in San Jose, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.