Individual provider Active NPI

Robin Michelle Havens, C.N.P.

  • Family Nurse Practitioner
  • Seaman, OH
National Provider Identifier
1447408430
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-10189 Issued in OH
Practice address
218 Stern Drive
Seaman, OH 45679-9607
Phone
(937) 386-1379
Fax
(937) 386-0129
NPI assigned
Sep 3, 2008
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-10189 OH Primary

Addresses

Primary practice location

218 Stern Drive
Seaman, OH 45679-9607

Mailing address

424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 707-4041

Other identifiers 1

IdentifierTypeStateIssuer
2889772MedicaidOH

Other names 1

  • Robin Michelle Laxton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090428000024 OH Practitioner - Nurse Practitioner 1658429857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthsource of Ohio IncGroup PAC ID 2264328749, 56 clinicians

Practice addresses (Care Compare)

218 Stern Rd
Seaman, OH 45679-9607
Phone (937) 386-1379

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-10189OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. CurrentSince Dec 30, 2012 Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. CurrentSince Dec 30, 2012 Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients

Locations

2055 Hospital Dr
Ste 130
Batavia, OH 45103
Phone (513) 732-0700

631 E State St
Georgetown, OH 45121
Phone (937) 378-6387

6535 Charles Snider Rd
Goshen, OH 45140
Phone (513) 474-2870

1108 Northview Dr
Ste 1
Hillsboro, OH 45133
Phone (937) 393-5781

424 Wards Corner Rd
Ste 200
Loveland, OH 45140
Phone (513) 707-4041

150 Health Partners Cir
Mount Orab, OH 45154
Phone (937) 444-2514

6131 Campus Ln
Mt Washington, OH 45230
Phone (513) 732-5088

100 River Valley Blvd
New Richmond, OH 45157
Phone (513) 553-3114

218 Stern Rd
Seaman, OH 45679
Phone (937) 378-3633

308 Highland Ave
Washington Court House, OH 43160
Phone (740) 335-2271

Interoperability endpoints

  • Direct secure messaging: robin.havenscfnp.p1@direct.hsohio.nextgenshare.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1447408430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-707-4041",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 STERN DRIVE",
            "city": "SEAMAN",
            "state": "OH",
            "postal_code": "456799607",
            "telephone_number": "937-386-1379",
            "fax_number": "937-386-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "ROBIN",
        "middle_name": "MICHELLE",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-10189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2889772",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "LAXTON",
            "middle_name": "MICHELLE",
            "credential": "C.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seaman, OH

Sources for this page

Verify at the official NPI Registry.