Active NPI
Stacey F Hauben
- Certified Registered Nurse Anesthetist
- Weymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 10974
- Practice address
- 55 Fogg Rd
Weymouth, MA 02190-2432 - Phone
- (781) 624-8000
- NPI assigned
- Jul 20, 2021
- Last updated
- Dec 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 111869 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | 10974 | CT | Primary |
Addresses
Primary practice location
55 Fogg Rd
Weymouth, MA 02190-2432
Mailing address
19 Rock Hill Rd
Woodbridge, CT 06525-1103
Phone (203) 927-3362
Other practice location 1
267 Grant St
Bridgeport, CT 06610-2870
Phone (203) 384-3000
Other practice location 2
320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541
Other practice location 3
2 Pond Park Rd
Hingham, MA 02043-4347
Phone (781) 624-8352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111869 | CT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| North American Partners in Anesthesia Connecticut PC | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| South Shore Medical Center, Inc. | Current | Accepting new patients | |
| Coastal Medical Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302
75 Francis St
Boston, MA 02115
62 13th St
Charlestown, MA 02129
Phone (617) 724-3874
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
2 Pond Park Rd
Hingham, MA 02043
Phone (781) 337-5555
5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Norwell, MA
- NPI 1669411856
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1043711914
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- New Britain, CT
- NPI 1316994775
-
dba Brown Health Medical Group
- Family Medicine Physician
- Taunton, MA
- NPI 1235957713
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1558934323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 ROCK HILL RD",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065251103",
"telephone_number": "203-927-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FOGG RD",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021902432",
"telephone_number": "781-624-8000"
}
],
"practiceLocations": [
{
"address_1": "267 Grant St",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066102870",
"country_code": "US",
"telephone_number": "203-384-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "320 Pomfret St",
"address_purpose": "LOCATION",
"city": "Putnam",
"state": "CT",
"postal_code": "062601836",
"country_code": "US",
"telephone_number": "860-928-6541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Pond Park Rd",
"address_purpose": "LOCATION",
"city": "Hingham",
"state": "MA",
"postal_code": "020434347",
"country_code": "US",
"telephone_number": "781-624-8352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUBEN",
"first_name": "STACEY",
"middle_name": "F",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-20",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "111869",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "10974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.