Individual provider Active NPI

Rebecca Nicole Havlik, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1598170342
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07861 Issued in LA
Practice address
2501 W Pinhook Rd
Lafayette, LA 70508-3346
Phone
(337) 269-0136
NPI assigned
Jun 30, 2014
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07861 LA Primary

Addresses

Primary practice location

2501 W Pinhook Rd
Lafayette, LA 70508-3346

Mailing address

2501 W Pinhook Rd
Lafayette, LA 70508-3346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141007000514 LA Practitioner - Nurse Practitioner 4082834445 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

501 Torrenova Cir
Lafayette, LA 70508-1834
Phone (337) 306-8006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07861LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Medical Clinic LLC CurrentSince Jan 1, 2022 Accepting new patients
Acadiana Concern for AIDS Relief Education and Support, Inc. CurrentSince Nov 28, 2017 Accepting new patients
Havlik Health LLC CurrentSince Apr 28, 2022 Accepting new patients
Acadiana Concern for AIDS Relief Education and Support, Inc. Past Accepting new patients

Locations

117 Caillouett Pl
Ste B
Lafayette, LA 70501
Phone (337) 573-2031

809 Mlk Dr
Lafayette, LA 70501
Phone (337) 233-2437

211 N Adams Ave
Rayne, LA 70578
Phone (337) 306-8006

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1598170342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083346",
            "telephone_number": "337-269-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVLIK",
        "first_name": "REBECCA",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.