Individual provider Active NPI

Yvonne Haller, NP

  • Nurse Practitioner
  • Santa Paula, CA
National Provider Identifier
1528196128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPF15084 Issued in CA
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

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130515000529 CA Order and Referring Only - Family PracticePractitioner - Family Practice 5799922597

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140608CAMDMarriage & Family Therapist
NPF15084CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mikael Hakansson, M.D. Corp. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yvonne.haller.p2@direct.mlhakansson1.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.