Active NPI
Shiloh M Haven, NP
- Family Nurse Practitioner
- Salem, NH
National Provider Identifier
1548306459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 080161-23
- Practice address
- 70 Butler Street
NRHN Rehab Physician Services
Salem, NH 03079 - Phone
- (603) 501-5547
- Fax
- (603) 501-5650
- NPI assigned
- Jan 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 262793 | MA | |
| Family Nurse Practitioner | 363LF0000X | 080161-23 | NH | Primary |
Addresses
Primary practice location
70 Butler Street
NRHN Rehab Physician Services
Salem, NH 03079
Mailing address
105 Corporate Drive
NRHN Rehab Physician Services
Portsmouth, NH 03801
Phone (603) 501-5547
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP9574 | Other | MA | BCBS |
| 0712116 | Medicaid | MA | |
| 3118601 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080161-23 | NH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1548306459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CORPORATE DRIVE",
"address_2": "NRHN REHAB PHYSICIAN SERVICES",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "03801",
"telephone_number": "603-501-5547",
"fax_number": "603-501-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BUTLER STREET",
"address_2": "NRHN REHAB PHYSICIAN SERVICES",
"city": "SALEM",
"state": "NH",
"postal_code": "03079",
"telephone_number": "603-501-5547",
"fax_number": "603-501-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVEN",
"first_name": "SHILOH",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "262793",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "080161-23",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NP9574",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0712116",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3118601",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.