Active NPI
Elizabeth Dawn Haws, FNP-C
- Nurse Practitioner
- Williams, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 264456
- Practice address
- 300 S 6TH St
Williams, AZ 86046-0110 - Phone
- (928) 635-4441
- Fax
- (928) 635-4403
- NPI assigned
- Sep 29, 2021
- Last updated
- Nov 5, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 264456 | AZ | Primary |
| Family Nurse Practitioner | 363LF0000X | 264456 | AZ | |
| Primary Care Nurse Practitioner | 363LP2300X | 264456 | AZ |
Addresses
Primary practice location
300 S 6TH St
Williams, AZ 86046-0110
Mailing address
PO Box 3630
Flagstaff, AZ 86003-3630
Phone (928) 522-9879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211109003038 | AZ | Practitioner - Nurse Practitioner | 9234528449 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264456 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Past | Accepting new patients | |
| Partners in Recovery, LLC | Past | Accepting new patients |
Locations
1120 W University Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 522-1300
1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177
2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800
300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441
620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Lake Havasu City, AZ
- NPI 1033359468
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1073583472
-
- Multi-Specialty Clinic/Center
- Show Low, AZ
- NPI 1073740098
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1619345675
-
dba Flagstaff Pediatric Care
- Pediatrics Physician
- Flagstaff, AZ
- NPI 1669911764
-
- Community/Behavioral Health Agency
- Lakeside, AZ
- NPI 1821702234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1275205254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3630",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860033630",
"telephone_number": "928-522-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S 6TH ST",
"city": "WILLIAMS",
"state": "AZ",
"postal_code": "860460110",
"telephone_number": "928-635-4441",
"fax_number": "928-635-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWS",
"first_name": "ELIZABETH",
"middle_name": "DAWN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "264456",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "264456",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AZ",
"license": "264456",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williams, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.