Shelby Elaine Havens, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1785392 Issued in FL

Practice address

3333 NE 39TH Ave
Gainesville, FL 32609-2639

Phone

(352) 491-4444

Fax

(352) 491-4410

NPI assigned

Feb 2, 2012

Last updated

Feb 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1659643997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 NE 39TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092639",
            "telephone_number": "352-491-4444",
            "fax_number": "352-491-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 NE 39TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092639",
            "telephone_number": "352-491-4444",
            "fax_number": "352-491-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "SHELBY",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "1785392",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "1785392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Michelle Hausner, LMHC
• Linda Carolyn Hauzer, ANCC BC
• Lawrence Marvin Haveman, RPH
• Haven Medical Group, LLC
• Haven Palliative Care LLC
• Alyssa Hawkins
• Connie Hawkins
• Dionne Latrice Hawkins, MPT
• Kelly Hawkins, DPT
• Tamika Lanee Hawkins, PT, DPT

• Psychiatric/Mental Health Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.