Scott Kenneth Haese, MPH, RD, LN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

717594 Issued in NM

Practice address

1984 Cameo Dr
Alamogordo, NM 88310-8508

Phone

(575) 491-2572

Fax

(320) 213-9346

NPI assigned

Jan 7, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Otero County Hospital Association

  • Community/Retail Pharmacy
  • Alamogordo, NM
  • NPI 1235948803
  NPD
• Otero County Hospital Association

  • General Acute Care Hospital
  • Alamogordo, NM
  • NPI 1861450579
  NPD

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1396167573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 CAMEO DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108508",
            "telephone_number": "575-491-2572",
            "fax_number": "320-213-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 CAMEO DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108508",
            "telephone_number": "575-491-2572",
            "fax_number": "320-213-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAESE",
        "first_name": "SCOTT",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "MPH, RD, LN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NM",
            "license": "328",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "717594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Habelt, MOT OTR L
• Natasha Habersham
• Ashtria Hackworth
• Charity Haddock
• Callie Hadley
• Patricia Ann Haggerton, PT
• Hannah L Hagquist, BCBA
• Jessica Hamblin
• James Donald Hamer, O.D.
• Samuel Glen Hammel, D.C.

• Registered Dietitian in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Registered Dietitian in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.