Individual provider Active NPI

Megan Amber Haden, FNP-C

  • Family Nurse Practitioner
  • Apache Junction, AZ
National Provider Identifier
1982115085
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10670 Issued in AZ
Practice address
180 S la Barge Rd
Apache Junction, AZ 85119-9399
Phone
(602) 740-2021
Fax
(602) 740-2021
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10670 AZ Primary

Addresses

Primary practice location

180 S la Barge Rd
Apache Junction, AZ 85119-9399

Mailing address

180 S la Barge Rd
Apache Junction, AZ 85119-9399
Phone (602) 740-2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180530001914 TX Practitioner - Nurse Practitioner 5092070797 Reassigns benefits to 1 organization
I20181123000091 AZ Practitioner - Nurse Practitioner 5092070797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP10670AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Medical Center Safford PLLC CurrentSince Mar 15, 2019 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Apr 30, 2018 Accepting new patients
Copper Leaf Counseling LLC PastSince Sep 5, 2006 Accepting new patients

Locations

1765 S 20th Ave
Safford, AZ 85546
Phone (928) 424-1600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1982115085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S LA BARGE RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851199399",
            "telephone_number": "602-740-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S LA BARGE RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851199399",
            "telephone_number": "602-740-2021",
            "fax_number": "602-740-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADEN",
        "first_name": "MEGAN",
        "middle_name": "AMBER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

Verify at the official NPI Registry.