Jennifer Michelle Havens, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

17-1625 Issued in AZ

Practice address

2204 S Dobson Rd Ste 203
Mesa, AZ 85202-6457

Phone

(480) 914-3673

NPI assigned

Aug 8, 2017

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9567/brand/2/csg/1/fhir/r4

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.

• Embry Womens Health LLC

  • Women's Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1316356207
  NPD
• Dose Wellness LLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1518746064
  NPD (past)

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1376068635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 N 70TH ST UNIT 1004",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S DOBSON RD STE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026457",
            "telephone_number": "480-914-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "17-1625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hathcock
• Bassam Hattab, M.D.
• Logan Dale Hatton, PA-C
• Alyssa Haught, PHARMD
• Amber Len Hauskins, PA-C
• Hanna Maria Haverinen, PHD, NMD
• Clarin Havig, R.N.
• Matthew Havranek, ATC
• Courtney Hawes, ND
• Shuntelle Hawk, FNP-C

• Naturopath in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Naturopath in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.