Individual provider Active NPI

Ian A.K. Hauffe, LPN/EMT-P

  • Licensed Vocational Nurse
  • Brookings, SD
National Provider Identifier
1629211693
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
216573 Issued in TX
Practice address
1026 6TH Ave
Brookings, SD 57006-1307
Phone
(605) 697-6550
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X P80281332 TX
Licensed Vocational Nurse 164X00000X 216573 TX Primary

Addresses

Primary practice location

1026 6TH Ave
Brookings, SD 57006-1307

Mailing address

A Co. 121 CSH Box 326
Apo, AP 96205

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

State licenses

LicenseStateTypeSpecialty
P80281332TXMDParamedic
216573TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1629211693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "A CO. 121 CSH BOX 326",
            "city": "APO",
            "state": "AP",
            "postal_code": "96205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 6TH AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061307",
            "telephone_number": "605-697-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUFFE",
        "first_name": "IAN",
        "middle_name": "A.K.",
        "name_prefix": "Mr.",
        "credential": "LPN/EMT-P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "TX",
            "license": "P80281332",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "216573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.