Michelle R Dehaven, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN424206 Issued in CA

Practice address

1301 E Orangethorpe Ave
Placentia, CA 92870-5302

Phone

(714) 996-1551

NPI assigned

Apr 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Placentia Yorba Linda Unified School District

  • Local Education Agency (LEA)
  • Placentia, CA
  • NPI 1871773762
  NPD (past)

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1679154702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E ORANGETHORPE AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705302",
            "telephone_number": "714-996-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E ORANGETHORPE AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705302",
            "telephone_number": "714-996-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAVEN",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "RN424206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Davis
• Nyaire Rose Davis
• William R Davis Jr.
• William Eric De Board, DC
• Michael P Decarlo, O.D.
• Francine Nicole Del Rosario
• Hannah Delgadillo
• Matthew Martin Delgado
• Sloan Ann Dempster, AMFT
• Catherine Deng

• School Registered Nurse in Placentia, CA
• Providers in Placentia, CA by specialty
• School Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.