Jamie Silas Havens

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

000414 Issued in CT

Practice address

123 Farmington Ave
Bristol, CT 06010-4200

Phone

(860) 314-1871

Fax

(860) 584-8425

NPI assigned

Jul 13, 2015

Last updated

Jul 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1548644354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HARTFORD AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060102756",
            "telephone_number": "860-314-1871",
            "fax_number": "860-584-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104200",
            "telephone_number": "860-314-1871",
            "fax_number": "860-584-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "JAMIE",
        "middle_name": "SILAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CT",
            "license": "000414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598891855",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Leslie M. Hauge, LPC
• Healing Space
• Hear-Rite Hearing Center
• James J Heckman, RPH
• Marc Henderson, DDS
• Genevieve Armstrong Henry, MD

• Hearing Instrument Specialist in Bristol, CT
• Providers in Bristol, CT by specialty
• Hearing Instrument Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.