Active NPI
Catherine Judith Hafkenscheid, RN,CPN
- Pediatric Registered Nurse
- Long Beach, CA
National Provider Identifier
1972735165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 495622
- Practice address
- 2680 Stanbridge Ave
Long Beach, CA 90815-1233 - Phone
- (562) 421-2329
- Fax
- (562) 354-6000
- NPI assigned
- Aug 20, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 495622 | CA | |
| Medical-Surgical Registered Nurse | 163WM0705X | 495622 | CA | |
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 495622 | CA | |
| Pediatric Registered Nurse | 163WP0200X | 495622 | CA | Primary |
Addresses
Primary practice location
2680 Stanbridge Ave
Long Beach, CA 90815-1233
Mailing address
2680 Stanbridge Ave
Long Beach, CA 90815-1233
Phone (562) 421-2329
Other names 1
- Ms. Katie Judtih Hafkenscheid
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 495622 | CA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1972735165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 STANBRIDGE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151233",
"telephone_number": "562-421-2329",
"fax_number": "562-354-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 STANBRIDGE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151233",
"telephone_number": "562-421-2329",
"fax_number": "562-354-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFKENSCHEID",
"first_name": "CATHERINE",
"middle_name": "JUDITH",
"name_prefix": "Ms.",
"credential": "RN,CPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "495622",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "CA",
"license": "495622",
"primary": false
},
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "CA",
"license": "495622",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "CA",
"license": "495622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "HAFKENSCHEID",
"middle_name": "JUDTIH",
"prefix": "MS.",
"credential": "RN,CPN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.