Active NPI
Kelly Hauck, RN
- Registered Nurse
- Reading, PA
National Provider Identifier
1841549805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN630723
- Practice address
- 227 N 5TH St
Reading, PA 19601-3303 - Phone
- (610) 376-6077
- Fax
- (610) 376-6944
- NPI assigned
- Sep 6, 2012
- Last updated
- Sep 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN630723 | PA | Primary |
Addresses
Primary practice location
227 N 5TH St
Reading, PA 19601-3303
Mailing address
227 N 5TH St
Reading, PA 19601-3303
Phone (610) 376-6077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163W000001 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN630723 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Prevention Partnership of Berks County | Registered Nurse | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Nurse
- Reading, PA
- NPI 1013068725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1841549805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 N 5TH ST",
"city": "READING",
"state": "PA",
"postal_code": "196013303",
"telephone_number": "610-376-6077",
"fax_number": "610-376-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 N 5TH ST",
"city": "READING",
"state": "PA",
"postal_code": "196013303",
"telephone_number": "610-376-6077",
"fax_number": "610-376-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUCK",
"first_name": "KELLY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN630723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163W000001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reading, PA
- Lauren Josefa Hartwell
- Linda Hartz
- Michele Harvey
- Joseph R Hassan, M.D.
- Dawn M. Hasson, MD
- Christina Hauze
- Haven Behavioral Services of Reading, LLC (Haven Behavioral Hospital of Eastern Pennsylvania)
- Haven Behavioral Services of Reading, LLC (Haven Behavioral Hospital of Eastern Pennsylvania)
- Haven Behavioral Services Or Reading, LLC (Haven Behavioral Hospital of Eastern Pennsylvania Outpatient)
- Elizabeth Hawk, MS, RD, LDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.