Active NPI
Kathy Marie Haviland, RN
- Registered Nurse
- Federal Way, WA
National Provider Identifier
1972958940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60237204
- Practice address
- 1010 S. 336TH St
Supplemental Health Care
Federal Way, WA 98003 - Phone
- (253) 835-5769
- NPI assigned
- Apr 27, 2016
- Sex
- Female
- Sole proprietor
- No
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 Nurse | 163W00000X | RN60237204 | WA | Primary |
Addresses
Primary practice location
1010 S. 336TH St
Supplemental Health Care
Federal Way, WA 98003
Mailing address
PO Box 31303
Seattle, WA 98103
Phone (206) 547-9290
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 |
|---|---|---|---|
| RN60237204 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1972958940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31303",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98103",
"telephone_number": "206-547-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S. 336TH ST",
"address_2": "SUPPLEMENTAL HEALTH CARE",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "98003",
"telephone_number": "253-835-5769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVILAND",
"first_name": "KATHY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-27",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60237204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.