Brenda M Haugen, LICENSED SPECIALIST

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

2212 Issued in MN

Practice address

2812 17TH Ave S Ste E
Grand Forks, ND 58201-4048

Phone

(701) 746-8421

Fax

(701) 746-4719

NPI assigned

Jan 5, 2007

Last updated

Mar 25, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1700933009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 17TH AVE S STE E",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014048",
            "telephone_number": "701-746-8421",
            "fax_number": "701-746-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 17TH AVE S STE E",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014048",
            "telephone_number": "701-746-8421",
            "fax_number": "701-746-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGEN",
        "first_name": "BRENDA",
        "middle_name": "M",
        "credential": "LICENSED SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MN",
            "license": "2212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Hartz, LSW
• Pejcharat Jane Harvey, PH.D.
• Anne Michele Haskins, PHD, OTR/L
• Jonathan S Haug, MD
• Kimberly J Haug, NP
• Erin Nicole Jackson Haugen, PHD
• Jennifer Marie Haugen, LRD
• Jessica Haugen, PEER S SPECIALIST
• Brandon Haugrud
• Amanda Havelange

• Hearing Aid Equipment in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Hearing Aid Equipment in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.