Active NPI
Lynda M Hafner, RN
- Registered Nurse
- Granville, NY
National Provider Identifier
1689318412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 673792-01
- Practice address
- 5675 County Route 30
Granville, NY 12832-4003 - Phone
- (518) 260-1188
- NPI assigned
- Apr 27, 2022
- Last updated
- May 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 673792-01 | NY | Primary |
Addresses
Primary practice location
5675 County Route 30
Granville, NY 12832-4003
Mailing address
5675 County Route 30
Granville, NY 12832-4003
Phone (518) 260-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 673792-01 | Other | NY | NURSING LICENSE NYS DEPARTMENT OF EDUCATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 673792-01 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1689318412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5675 COUNTY ROUTE 30",
"city": "GRANVILLE",
"state": "NY",
"postal_code": "128324003",
"telephone_number": "518-260-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5675 COUNTY ROUTE 30",
"city": "GRANVILLE",
"state": "NY",
"postal_code": "128324003",
"telephone_number": "518-260-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFNER",
"first_name": "LYNDA",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-27",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "673792-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE NYS DEPARTMENT OF EDUCATION",
"identifier": "673792-01",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Granville, NY
- Granville Nursing and Rehabilitation Center LLC (The Orchard Nursing and Rehabilitation Centre)
- Granville Rescue Squad, Inc.
- Breanne K Greenough
- Ann Marie Gregory, FNP
- Tuesday Eleanor Grey, SLP
- Dean J. Harrison, D.C., P.T.RETIRED
- Brooke Lynne Hover, RN
- Indian River Rehabilitation & Health Care Center Inc
- Ir Operations Associates, LLC (Granville Center for Rehabilitation and Nursing)
- Irop LLC (Indian River Rehabilitation and Nursing Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.