Evelyn Louis Haack

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

134350 Issued in WI

Practice address

1407 Saint Andrew St Ste 100
La Crosse, WI 54603-2378

Phone

(608) 785-6266

NPI assigned

Sep 29, 2015

Last updated

Sep 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• La Crosse County Cmo

  • Health Maintenance Organization
  • La Crosse, WI
  • NPI 1225160492
  NPD (past)

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1871963199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6774 STRAWBERRY RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546509232",
            "telephone_number": "608-783-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 SAINT ANDREW ST STE 100",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546032378",
            "telephone_number": "608-785-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAACK",
        "first_name": "EVELYN",
        "middle_name": "LOUIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WI",
            "license": "134350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Gutsch
• Hope Margaret Guzzo, M.D.
• Matthew H. Guzzo, M.D.
• Nicholas Samuel Guzzo, NP
• H1 Lacrosse LLC (Uvanta Pharmacy of LaCrosse)
• Evi Grace Haak
• Matthew D Haberl, PT
• Sara A Habte, MD
• Linda Hackman
• Alexandra Haedtke, NP

• Community Health Registered Nurse in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Community Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.