Active NPI
Joan Haffner
- Registered Dietitian
- Lees Summit, MO
National Provider Identifier
1962864561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2004023884
- Practice address
- 2109 NE Cromwell St
Lees Summit, MO 64086-6330 - Phone
- (816) 830-7466
- NPI assigned
- Mar 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 Dietitian | 133V00000X | 2004023884 | MO | Primary |
Addresses
Primary practice location
2109 NE Cromwell St
Lees Summit, MO 64086-6330
Mailing address
2109 NE Cromwell St
Lees Summit, MO 64086-6330
Phone (816) 830-7466
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1962864561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 NE CROMWELL ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640866330",
"telephone_number": "816-830-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 NE CROMWELL ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640866330",
"telephone_number": "816-830-7466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFFNER",
"first_name": "JOAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-23",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2004023884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.