Individual provider Active NPI

Dona M Havir, RN

  • Registered Nurse
  • Ulster Park, NY
National Provider Identifier
1396079133
Registry record updated Sep 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
591932 Issued in NY
Practice address
617 Broadway
Ulster Park, NY 12487-5110
Phone
(845) 339-2929
NPI assigned
Sep 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 591932 NY Primary

Addresses

Primary practice location

617 Broadway
Ulster Park, NY 12487-5110

Mailing address

617 Broadway
Ulster Park, NY 12487-5110
Phone (845) 339-2929

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
591932NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1254009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254009600000",
    "number": "1396079133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 BROADWAY",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875110",
            "telephone_number": "845-339-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 BROADWAY",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875110",
            "telephone_number": "845-339-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVIR",
        "first_name": "DONA",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-27",
        "last_updated": "2009-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "591932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ulster Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2009; 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.