Individual provider Active NPI

Cyrus Dale Haskett Jr., LMP

  • Homeopath
  • Ilwaco, WA
National Provider Identifier
1457628232
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomeopathTaxonomy code 175L00000X
License
MA60246912 Issued in WA
Practice address
227 Howerton Way SE
Ilwaco, WA 98624-9089
Phone
(503) 440-5047
NPI assigned
Nov 22, 2011
Last updated
Nov 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homeopath 175L00000X MA60246912 WA Primary

Addresses

Primary practice location

227 Howerton Way SE
Ilwaco, WA 98624-9089

Mailing address

40 Auburn St
Astoria, OR 97103-5606
Phone (503) 440-5047

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

State licenses

LicenseStateTypeSpecialty
MA60246912WAMDHomeopath

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1457628232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AUBURN ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971035606",
            "telephone_number": "503-440-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 HOWERTON WAY SE",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "986249089",
            "telephone_number": "503-440-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKETT",
        "first_name": "CYRUS",
        "middle_name": "DALE",
        "name_suffix": "Jr.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "WA",
            "license": "MA60246912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ilwaco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.