Individual provider Active NPI

Linda Haselman, RN,MA,CDE

  • Registered Nurse
  • New York, NY
National Provider Identifier
1609016104
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
175039-1 Issued in NY
Practice address
1111 Amsterdam Ave
Babcock RM 1030
New York, NY 10025-1716
Phone
(212) 523-3764
Fax
(212) 523-5613
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 175039-1 NY Primary
Diabetes Educator Registered Nurse 163WD0400X 0932-5750 NY

Addresses

Primary practice location

1111 Amsterdam Ave
Babcock RM 1030
New York, NY 10025-1716

Mailing address

1111 Amsterdam Ave
Babcock RM 1030
New York, NY 10025-1716
Phone (212) 523-3764

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)
Not enrolled
Credentials
Master of Arts, Registered Nurse

State licenses

LicenseStateTypeSpecialty
175039-1NYMDRegistered Nurse
0932-5750NYMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1609016104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "address_2": "BABCOCK RM 1030",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-523-3764",
            "fax_number": "212-523-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "address_2": "BABCOCK RM 1030",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-523-3764",
            "fax_number": "212-523-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASELMAN",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "RN,MA,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "175039-1",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "0932-5750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.