Taylor K Haberman, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP60905092 Issued in WA

Practice address

2655 Northwinds Pkwy
Alpharetta, GA 30009-2280

Phone

(770) 643-5619

NPI assigned

Sep 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, NV, OR3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Evergreen Anesthesia Associates LLCGroup PAC ID 7113284530, 26 clinicians

Grant County Public Hospital District 1Group PAC ID 9931095692, 112 clinicians

Western Anesthesia Provider Group-Scherr PCGroup PAC ID 6204160385, 9 clinicians

Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Public Hospital District No 1 of Mason CountyGroup PAC ID 0345139275, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Samaritan Hospital Hospital, Moses Lake, WA, CCN 500033
• Kittitas Valley Community Hospital Hospital, Ellensburg, WA, CCN 501333
• Trios Health Hospital, Kennewick, WA, CCN 500053
• Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336
• Northeastern Nevada Regional Hospital Hospital, Elko, NV, CCN 290008

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thaberman951675@direct.lhs.org

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.

• Evergreen Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Sunnyside, WA
  • NPI 1225575996

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Grant County Public Hospital District 1

  • Rural Health Clinic/Center
  • Moses Lake, WA
  • NPI 1619086766
  Medicare reassignment Care Compare group NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  Nurse Anesthetist, Certified Registered, WA

  Medicare reassignment Care Compare group NPD
• Public Hospital District No 1 of Mason County

  • Certified Registered Nurse Anesthetist
  • Shelton, WA
  • NPI 1164650032

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Western Anesthesia Provider Group-Scherr, P.C.

  • Anesthesiology Physician
  • Elko, NV
  • NPI 1801450572
  Medicare reassignment Care Compare group NPD
• Good Shepherd Health Care System

  • Critical Access Hospital
  • Hermiston, OR
  • NPI 1295789667
  Medicare reassignment NPD
• Pend Oreille County Public Hospital District No 1

  • Emergency Medicine Physician
  • Newport, WA
  • NPI 1427264795
  Medicare reassignment NPD
• Pend Oreille County Public Hospital District No 1

  • Critical Access Hospital
  • Newport, WA
  • NPI 1780778423
  Medicare reassignment NPD
• Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC

  • Anesthesiology Physician
  • Richland, WA
  • NPI 1013940253

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Public Hospital District No 3 of Whitman County

  • Critical Access Hospital
  • Colfax, WA
  • NPI 1922009448
  Medicare reassignment NPD
• Northwest Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Airway Heights, WA
  • NPI 1083448237

  Nurse Anesthetist, Certified Registered

  NPD Authorized official
• Grant County Public Hospital District 1

  • Rural Health Clinic/Center
  • Moses Lake, WA
  • NPI 1609112739
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grant County Public Hospital District 1

  • General Acute Care Hospital
  • Moses Lake, WA
  • NPI 1902818883
  Care Compare affiliation
• Kittitas County Public Hospital Dist 1

  • Critical Access Hospital
  • Ellensburg, WA
  • NPI 1356375307
  Care Compare affiliation
• PHC-Elko Inc

  • Rural Acute Care Hospital
  • Elko, NV
  • NPI 1770674350
  Care Compare affiliation
• Public Hospital District No 1 of Mason County

  • Clinic/Center
  • Shelton, WA
  • NPI 1700111986

  Hospital

  Care Compare affiliation
• Public Hospital District No 1 of Mason County

  • Critical Access Hospital
  • Shelton, WA
  • NPI 1760568752
  Care Compare affiliation
• Public Hospital District No 1 of Mason County Washington

  • Foot & Ankle Surgery Podiatrist
  • Shelton, WA
  • NPI 1437486248

  Hospital

  Care Compare affiliation
• Public Hospital District No 1 of Mason County Washington

  • Surgery Physician
  • Shelton, WA
  • NPI 1639339666

  Hospital

  Care Compare affiliation
• Public Hospital District No 1 of Mason County Washington

  • Ophthalmologic Surgery Clinic/Center
  • Shelton, WA
  • NPI 1922196609

  Hospital

  Care Compare affiliation
• RCCH Trios Health LLC

  • General Acute Care Hospital
  • Kennewick, WA
  • NPI 1578058137
  Care Compare affiliation

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1922580877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 NORTHWINDS PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 NORTHWINDS PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092280",
            "telephone_number": "770-643-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMAN",
        "first_name": "TAYLOR",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60800197",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN93861",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "823106",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60905092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amarrah Shatia Guyton, RBT
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• Andrea Gwyn, LPC
• VI Ha, PHARMD
• Laurelanne Hackinson, LPC
• Jamie Burleson Haddan, PHARMD
• Zahra Hadi
• Christy Lynn Haffner, D.M.D.
• Ashley Hagan

• Certified Registered Nurse Anesthetist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.