Katrina Marisa Hausman

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5258 S Eastern Ave Ste 105
Las Vegas, NV 89119-2327

Phone

(702) 464-5080

NPI assigned

Dec 9, 2016

Last updated

Dec 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Katrina Marisa Ulloa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1932643962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 RETTIG AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "890449522",
            "telephone_number": "714-624-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 S EASTERN AVE STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192327",
            "telephone_number": "702-464-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSMAN",
        "first_name": "KATRINA",
        "middle_name": "MARISA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "ULLOA",
            "middle_name": "MARISA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Nabwire Haukwa-Taylor
• Phanice Haukwa
• Colton Russell Haupt, BST/PSR
• Martin Michael Hause
• Donna Marie Hausman
• Megan Hauver, DPT
• Haven Eeoi Holdings LLC
• Haven Health Care Services LLC (Haven Hospice)
• Haven Healthcare LLC
• Haven Personal Care Services, LLC

• Case Manager/Care Coordinator in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Case Manager/Care Coordinator in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.