Individual provider Active NPI

Carmen Mary Habat, RN

  • Registered Nurse
  • Cleveland, OH
National Provider Identifier
1679862312
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
308866 Issued in OH
Practice address
3448 W 159TH St
Cleveland, OH 44111-2964
Phone
(216) 251-7784
Fax
(216) 251-7784
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 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 163W00000X 308866 OH Primary

Addresses

Primary practice location

3448 W 159TH St
Cleveland, OH 44111-2964

Mailing address

3448 W 159TH St
Cleveland, OH 44111-2964
Phone (216) 251-7784

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
308866OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1679862312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 W 159TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112964",
            "telephone_number": "216-251-7784",
            "fax_number": "216-251-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 W 159TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112964",
            "telephone_number": "216-251-7784",
            "fax_number": "216-251-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABAT",
        "first_name": "CARMEN",
        "middle_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "308866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.