Healthy Haven Healthcare

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTHY HAVEN HEALTHCARE

Practice address

1508 Santa Fe Dr Ste 103
Weatherford, TX 76086-5859

Phone

(817) 242-5789

Fax

(888) 752-9156

NPI assigned

Aug 8, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Nichole Scott, FNP-CNPI 1336779941

Title

Owner/FNP-C

Phone

(863) 528-5627

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Nichole Scott, FNP

  • Family Nurse Practitioner
  • Weatherford, TX
  • NPI 1336779941
  Medicare reassignment NPD Authorized official
• Nelda Sue Robinson, RN

  • Case Management Registered Nurse
  • Fort Worth, TX
  • NPI 1356039614
  NPD

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1891478996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SOUTHVIEW DR",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760878232",
            "telephone_number": "863-528-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 SANTA FE DR STE 103",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865859",
            "telephone_number": "817-242-5789",
            "fax_number": "888-752-9156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 E Hwy 377",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760481400",
            "country_code": "US",
            "telephone_number": "817-242-5789",
            "fax_number": "888-752-9156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHY HAVEN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER/FNP-C",
        "authorized_official_telephone_number": "863-528-5627",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hbca Texas, LLC
• HCJ Legacy LLC
• Health Care Business Solutions LLC
• Health Imaging Partners, LLC
• Healthline Medical Equipment LLC
• Heart Center of North Texas, PA
• Jessica Heinsen, PT
• Richard C. Heldt, M.D.
• Henderson Optical
• Ashley Henderson, MD

• Family Medicine Physician in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.