Organization Active NPI

Hayven Integrative Health, a Professional Medical Corporation

  • Women's Health Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1669209425
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
HAYVEN INTEGRATIVE HEALTH, A PROFESSIONAL MEDICAL CORPORATION
Practice address
11553 Foothill Blvd Ste 22
Rancho Cucamonga, CA 91730-0730
Phone
(909) 286-7846
Fax
(909) 265-9406
NPI assigned
Sep 16, 2024
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Sherri L. Hull, NURSE PRACTITIONERNPI 1992910541
Title
Ceo/NP
Phone
(661) 449-7957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Women's Health Nurse Practitioner 363LW0102X Primary

Addresses

Primary practice location

11553 Foothill Blvd Ste 22
Rancho Cucamonga, CA 91730-0730

Mailing address

11553 Foothill Blvd Ste 22
Rancho Cucamonga, CA 91730-0730
Phone (909) 317-3759

Other names 1

  • Genesis Aesthetics & Wellness, Nursing Corp. Former legal business name

National Provider Directory

National Provider Directory

Locations

11553 Foothill Blvd
Ste 22
Rancho Cucamonga, CA 91730
Phone (909) 286-7846

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1669209425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11553 FOOTHILL BLVD STE 22",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300730",
            "telephone_number": "909-317-3759",
            "fax_number": "909-760-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11553 FOOTHILL BLVD STE 22",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300730",
            "telephone_number": "909-286-7846",
            "fax_number": "909-265-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYVEN INTEGRATIVE HEALTH, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO/NP",
        "authorized_official_telephone_number": "661-449-7957",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Aesthetics & Wellness, Nursing Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.