Individual provider Active NPI

Clarin Havig, R.N.

  • School Registered Nurse
  • Mesa, AZ
National Provider Identifier
1508928987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN068914 Issued in AZ
Practice address
10045 E Madero Ave
Mesa, AZ 85209-1399
Phone
(480) 984-8947
Fax
(480) 354-5090
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN068914 AZ Primary

Addresses

Primary practice location

10045 E Madero Ave
Mesa, AZ 85209-1399

Mailing address

140 S Gilbert Rd
Gilbert, AZ 85296-1016
Phone (480) 545-3826

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN068914AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508928987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S GILBERT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961016",
            "telephone_number": "480-545-3826",
            "fax_number": "480-632-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 E MADERO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852091399",
            "telephone_number": "480-984-8947",
            "fax_number": "480-354-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVIG",
        "first_name": "CLARIN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN068914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

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.

Verify at the official NPI Registry.