Craig Baron Halverson

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1990 McCulloch Blvd N Ste D298
Lake Havasu City, AZ 86403-5749

Phone

(760) 975-1300

NPI assigned

Sep 1, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1538077102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 MCCULLOCH BLVD N STE D298",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035749",
            "telephone_number": "760-975-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 MCCULLOCH BLVD N STE D298",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035749",
            "telephone_number": "760-975-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVERSON",
        "first_name": "CRAIG",
        "middle_name": "BARON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Anne Guzzo, PAC
• Mercedes Evelyn Haile
• Mary Consuelo Halfacre Buie, PT
• Laura Ashlee Hall, MS CCC SLP
• Ricki-Lee Halling, O.D.
• Kathryn Avila Hammond, MS, CCC
• Hanger Prosthetics & Orthotics West Inc
• Tammy Lynn Hankins
• Warren Tracy Hankins, M.D.
• Jesse Wilson Harker, D. D. S.

• Student in an Organized Health Care Education/Training Program in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Student in an Organized Health Care Education/Training Program in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.