Active NPI
Christine L Haskell, LPN-SFA
- Licensed Practical Nurse
- Los Gatos, CA
National Provider Identifier
1811023583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 263622-3101
- Practice address
- 14981 National Ave
Los Gatos, CA 95032-2600 - Phone
- (801) 380-5020
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN205839 | CA | |
| Licensed Practical Nurse | 164W00000X | 263622-3101 | UT | Primary |
Addresses
Primary practice location
14981 National Ave
Los Gatos, CA 95032-2600
Mailing address
PO Box 156
Monticello, UT 84535
Phone (801) 380-5020
Other names 1
- Chris Haskell
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 |
|---|---|---|---|
| 263622-3101 | UT | MD | Licensed Practical Nurse |
| VN205839 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bay Bariatrics Medical Corporation PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- San Jose, CA
- NPI 1760710396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503014400000",
"number": "1811023583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 156",
"city": "MONTICELLO",
"state": "UT",
"postal_code": "84535",
"telephone_number": "801-380-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14981 NATIONAL AVE",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322600",
"telephone_number": "801-380-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKELL",
"first_name": "CHRISTINE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LPN-SFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2017-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN205839",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "UT",
"license": "263622-3101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRIS",
"last_name": "HASKELL",
"credential": "LPN-SFA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.