Elaine Hazi, RN

Key facts

NPI

1679967152

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

RN279507L (PA)

Practice address

502 Student Health Ctr
University Park, PA 16802-2129

Phone

(814) 865-6555

Fax

(814) 863-8464

NPI assigned

Mar 24, 2015

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• The Pennsylvania State University Family Medicine Physician · University Park, PA · NPI 1316063126
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 24, 2015.

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1679967152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 STUDENT HEALTH CTR",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168022129",
            "telephone_number": "814-865-6555",
            "fax_number": "814-863-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 STUDENT HEALTH CTR",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168022129",
            "telephone_number": "814-865-6555",
            "fax_number": "814-863-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZI",
        "first_name": "ELAINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN279507L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, PA

• Mary Pat Griffin, RN
• Michelle Haffner, RN
• Brandon Wayne Hall, ATC
• Kayla Ann Hartzel
• Sarah Haxton, RN
• Robert Heinbach, M.D.
• Ashley Helton
• Katrina A. Henderson, PA-C
• Frank Gerard Hillary, PHD
• Jenny Hilliard

All providers in University Park, PA · Registered Nurse in Pennsylvania