Active NPI
Carol Dehaven, P.T
- Occupational Medicine Physician
- Nashua, NH
National Provider Identifier
1780842856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 1560
- Practice address
- 436 Amherst St
Nashua, NH 03063-1276 - Phone
- (603) 889-0177
- Fax
- (603) 889-0176
- NPI assigned
- May 27, 2008
- 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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 1560 | NH | Primary |
Addresses
Primary practice location
436 Amherst St
Nashua, NH 03063-1276
Mailing address
5080 Spectrum Dr
Suite 1200
Addison, TX 75001-4648
Phone (800) 232-3550
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1560 | NH | MD | Substance Use Disorder Rehabilitation Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1780842856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 SPECTRUM DR",
"address_2": "SUITE 1200",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014648",
"telephone_number": "800-232-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 AMHERST ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631276",
"telephone_number": "603-889-0177",
"fax_number": "603-889-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHAVEN",
"first_name": "CAROL",
"credential": "P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NH",
"license": "1560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.