Anna Havelka, C.P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R168306-0 Issued in MN

Practice address

14135 Cedar Ave
Suite 100
Apple Valley, MN 55124-4522

Phone

(952) 432-4373

Fax

(952) 997-5679

NPI assigned

Nov 9, 2006

Last updated

Apr 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pediatric Surgical Associates LTD

  • Pediatric Surgery Physician
  • Minneapolis, MN
  • NPI 1093778292
  Medicare reassignment NPD
• Eagan Valley Pediatrics, P.a.

  • Clinic/Center
  • Apple Valley, MN
  • NPI 1528050119
  NPD (past)
• Today Care

  • Pediatrics Physician
  • Apple Valley, MN
  • NPI 1003040221
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1508936329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14135 CEDAR AVE",
            "address_2": "SUITE 100",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244522",
            "telephone_number": "952-432-4373",
            "fax_number": "952-997-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 CEDAR AVE",
            "address_2": "SUITE 100",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244522",
            "telephone_number": "952-432-4373",
            "fax_number": "952-997-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVELKA",
        "first_name": "ANNA",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "R168306-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadro Mohamud Hassan
• Khalid Abdirahman Hassan
• Khalif Hassan
• Najma Abdinasir Hassan
• Charles Jerome Hauwiller, CRNA
• Gary David Haverlock, B.S. PHARMACY
• Lauren Haverly, O.D.
• Mohamed Adbi-Asis Haybe
• Healthwheels Transportation LLC
• Heffernan Enterprises PLLC (East Valley Chiropractic)

• Pediatric Nurse Practitioner in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.