Individual provider Active NPI

Catherine Judith Hafkenscheid, RN,CPN

  • Pediatric Registered Nurse
  • Long Beach, CA
National Provider Identifier
1972735165
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
495622 Issued in CA
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

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
495622CAMDCritical 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.

Verify at the official NPI Registry.