Individual provider Active NPI

Cynthia Havlat, RN

  • School Registered Nurse
  • Crete, NE
National Provider Identifier
1982247193
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
35988 Issued in NE
Practice address
920 Linden Ave
Crete, NE 68333-2292
Phone
(402) 826-5228
Fax
(402) 826-1086
NPI assigned
Oct 21, 2019
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 35988 NE Primary

Addresses

Primary practice location

920 Linden Ave
Crete, NE 68333-2292

Mailing address

1621 State Highway 33
Dorchester, NE 68343-2256
Phone (402) 826-9504

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
35988NEMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1982247193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 STATE HIGHWAY 33",
            "city": "DORCHESTER",
            "state": "NE",
            "postal_code": "683432256",
            "telephone_number": "402-826-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LINDEN AVE",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683332292",
            "telephone_number": "402-826-5228",
            "fax_number": "402-826-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVLAT",
        "first_name": "CYNTHIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "35988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crete, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.