Active NPI
Natalie Jo Hazen, BS
- Case Manager/Care Coordinator
- Menomonie, WI
National Provider Identifier
1407980733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- H250000211131
- Practice address
- 808 Main St E
Menomonie, WI 54751-2735 - Phone
- (715) 232-1116
- NPI assigned
- Mar 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | H250000211131 | MN | Primary |
Addresses
Primary practice location
808 Main St E
Menomonie, WI 54751-2735
Mailing address
N6975 950TH St
Elk Mound, WI 54739-9388
Phone (715) 879-4166
Other names 1
- Ms. Natalie Jo Skaro
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H250000211131 | MN | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Dunn | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Menomonie, WI
- NPI 1588667406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407980733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N6975 950TH ST",
"city": "ELK MOUND",
"state": "WI",
"postal_code": "547399388",
"telephone_number": "715-879-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 MAIN ST E",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547512735",
"telephone_number": "715-232-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZEN",
"first_name": "NATALIE",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MN",
"license": "H250000211131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATALIE",
"last_name": "SKARO",
"middle_name": "JO",
"prefix": "MS.",
"credential": "BS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Menomonie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.