Active NPI
Yvonne Haller, NP
- Nurse Practitioner
- Santa Paula, CA
National Provider Identifier
1528196128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NPF15084
- Practice address
- 845 N 10TH St
Ste #1
Santa Paula, CA 93060-1300 - Phone
- (805) 525-5762
- Fax
- (805) 525-7277
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NPF15084 | CA | Primary |
Addresses
Primary practice location
845 N 10TH St
Ste #1
Santa Paula, CA 93060-1300
Mailing address
845 N 10TH St
Ste #1
Santa Paula, CA 93060-1300
Phone (805) 525-5762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130515000529 | CA | Order and Referring Only - Family Practice | 5799922597 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140608 | CA | MD | Marriage & Family Therapist |
| NPF15084 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mikael Hakansson, M.D. Corp. | Past | Accepting new patients |
Interoperability endpoints
- yvonne.haller.p2@direct.mlhakansson1.nextgenshare.com
- yvonne.haller.p1@direct.mlhakansson1.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Fillmore, CA
- NPI 1487204863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528196128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 N 10TH ST",
"address_2": "STE #1",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930601300",
"telephone_number": "805-525-5762",
"fax_number": "805-525-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 N 10TH ST",
"address_2": "STE #1",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930601300",
"telephone_number": "805-525-5762",
"fax_number": "805-525-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLER",
"first_name": "YVONNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NPF15084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Paula, CA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.