Organization Active NPI

Suzanne L. Haveman, Crnfa, Inc.

  • Registered Nurse First Assistant
  • Ashland, OR
National Provider Identifier
1447328596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
Legal business name
SUZANNE L. HAVEMAN, CRNFA, INC.
Practice address
245 Maywood Way
Ashland, OR 97520-9511
Phone
(541) 488-1840
Fax
(541) 482-7642
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Suzanne L. Haveman, CRNFA
Title
President
Phone
(541) 488-1840

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X 566627 CA
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X OR Primary

Addresses

Primary practice location

245 Maywood Way
Ashland, OR 97520-9511

Mailing address

245 Maywood Way
Ashland, OR 97520-9511
Phone (541) 488-1840

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447328596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MAYWOOD WAY",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209511",
            "telephone_number": "541-488-1840",
            "fax_number": "541-482-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MAYWOOD WAY",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209511",
            "telephone_number": "541-488-1840",
            "fax_number": "541-482-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE L. HAVEMAN, CRNFA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAVEMAN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-488-1840",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "566627",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.