Individual provider Active NPI

Rebecca Sue Van Haselen, RNFA

  • Registered Nurse First Assistant
  • Henderson, NV
National Provider Identifier
1649550583
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN43539 Issued in NV
Practice address
3073 Olivia Heights Ave
Henderson, NV 89052-8539
Phone
(702) 289-2036
Fax
(702) 270-2362
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN43539 NV Primary

Addresses

Primary practice location

3073 Olivia Heights Ave
Henderson, NV 89052-8539

Mailing address

3073 Olivia Heights Ave
Henderson, NV 89052-8539
Phone (702) 289-2036

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
RN43539NVMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1649550583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 OLIVIA HEIGHTS AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528539",
            "telephone_number": "702-289-2036",
            "fax_number": "702-270-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 OLIVIA HEIGHTS AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528539",
            "telephone_number": "702-289-2036",
            "fax_number": "702-270-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HASELEN",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NV",
            "license": "RN43539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.