Tracy Gail Haakenstad, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN2257716 Issued in MA

Practice address

225 Stedman St Ste 32
Lowell, MA 01851-2792

Phone

(978) 551-1294

NPI assigned

May 8, 2018

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• C and N Nursing Services and Homecare

  • Nursing Care Agency
  • Lowell, MA
  • NPI 1316449697
  NPD (past) Authorized official

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1730678459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 STEDMAN ST STE 32",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512792",
            "telephone_number": "978-551-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 STEDMAN ST STE 32",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512792",
            "telephone_number": "978-551-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAKENSTAD",
        "first_name": "TRACY",
        "middle_name": "GAIL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MA",
            "license": "RN2257716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamison Gunn
• Mukund Gupta, MD
• Seema Gupta, M.D.
• Alice Gutu, RN
• Jennifer Gyamfi
• Leena Sachiko Haas, MSW
• Habit Cpco Inc
• Haneen A Haddad Alzawaideh, PSY.D.
• Mark Doran Haddad, MSW
• Maryjo B Haggerty, LICSW DIPLOMATE

• Case Management Registered Nurse in Lowell, MA
• Providers in Lowell, MA by specialty
• Case Management Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.