Individual provider Active NPI

Aileen Florence Haxo, RN

  • Case Management Registered Nurse
  • Oakland, CA
National Provider Identifier
1710404751
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
764721 Issued in CA
Practice address
7200 Bancroft Ave Ste 202
Oakland, CA 94605-2471
Phone
(510) 577-7080
Fax
(510) 577-7078
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 764721 CA
Case Management Registered Nurse 163WC0400X 764721 CA Primary

Addresses

Primary practice location

7200 Bancroft Ave Ste 202
Oakland, CA 94605-2471

Mailing address

1000 Broadway Ste 500
Oakland, CA 94607-4033
Phone (510) 208-5930

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
764721CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1710404751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY STE 500",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074033",
            "telephone_number": "510-208-5930",
            "fax_number": "510-267-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 202",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052471",
            "telephone_number": "510-577-7080",
            "fax_number": "510-577-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAXO",
        "first_name": "AILEEN",
        "middle_name": "FLORENCE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "764721",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "764721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.