Individual provider Active NPI

Theresa Rose Haffner, ARNP

  • Family Nurse Practitioner
  • Bayonet Point, FL
National Provider Identifier
1700879798
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2153432 Issued in FL
Practice address
7575 State Road 52
Bayonet Point, FL 34667-6716
Phone
(727) 861-9800
Fax
(727) 245-1390
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP2153432 FL Primary

Addresses

Primary practice location

7575 State Road 52
Bayonet Point, FL 34667-6716

Mailing address

5422 US Highway 19
New Port Richey, FL 34652-3948
Phone (727) 848-1096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080117000638 FL Practitioner - Nurse Practitioner 4789765553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of West FL CurrentSince Jul 1, 2020 Accepting new patients
Long Term Care Assessments LLC PastSince Mar 26, 2011 Accepting new patients
Doctors at Home LLC Past Accepting new patients

Locations

7575 State Road 52
Hudson, FL 34667
Phone (727) 861-9800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJIECA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1700879798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 US HIGHWAY 19",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523948",
            "telephone_number": "727-848-1096",
            "fax_number": "727-848-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 STATE ROAD 52",
            "city": "BAYONET POINT",
            "state": "FL",
            "postal_code": "346676716",
            "telephone_number": "727-861-9800",
            "fax_number": "727-245-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFNER",
        "first_name": "THERESA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2153432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonet Point, FL

Sources for this page

Verify at the official NPI Registry.