Individual provider Active NPI

Donna Haberle

  • Contractor
  • Zimmerman, MN
National Provider Identifier
1679488878
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
1099444 Issued in MN
Practice address
26254 111TH St NW
Zimmerman, MN 55398-3505
Phone
(763) 856-0021
NPI assigned
Aug 14, 2026
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 1099444 MN Primary

Addresses

Primary practice location

26254 111TH St NW
Zimmerman, MN 55398-3505

Mailing address

26254 111TH St NW
Zimmerman, MN 55398-3505
Phone (763) 856-0021

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

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1679488878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26254 111TH ST NW",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553983505",
            "telephone_number": "763-856-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26254 111TH ST NW",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553983505",
            "telephone_number": "763-856-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERLE",
        "first_name": "DONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MN",
            "license": "1099444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zimmerman, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.