Active NPI
Celina Fain, HAD
- Specialist
- Lake Havasu City, AZ
National Provider Identifier
1629472774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- HAD6181
- Practice address
- 55 Lake Havasu Ave S Ste L
Lake Havasu City, AZ 86403-0938 - Phone
- (928) 855-9770
- Fax
- (928) 855-9774
- NPI assigned
- Oct 17, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | HAD6181 | AZ | Primary |
Addresses
Primary practice location
55 Lake Havasu Ave S Ste L
Lake Havasu City, AZ 86403-0938
Mailing address
116 Lake Havasu Ave S Ste 103
Lake Havasu City, AZ 86403-0811
Phone (928) 855-9770
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
| License | State | Type | Specialty |
|---|---|---|---|
| HAD6181 | AZ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply HH&K LLC | Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1629472774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 LAKE HAVASU AVE S STE 103",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864030811",
"telephone_number": "928-855-9770",
"fax_number": "928-855-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE HAVASU AVE S STE L",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864030938",
"telephone_number": "928-855-9770",
"fax_number": "928-855-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIN",
"first_name": "CELINA",
"credential": "HAD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "HAD6181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Havasu City, AZ
- Eugene Vitvitsky MD (Havasu Vein Center)
- Lauren Marie Evans, FNP-C
- Mary Karen Evans, CARE PROVIDER
- Express Medical Supplies Inc
- Amanda Faber, PHARMD
- Susan Falzon
- Family Care Home Health & Hospice (Family Care Hospice)
- Family Care Home Health & Hospice (Family Care Home Health Agency)
- Family Primary Care, LLC
- Cinderella Famutimi, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.