Individual provider Active NPI

Laura Suzanne Havens, RN

  • Case Management Registered Nurse
  • Ft Wainwright, AK
National Provider Identifier
1982249884
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
23877 Issued in AK
Practice address
1076 Gaffney Rd Stop 7400
Ft Wainwright, AK 99703-5001
Phone
(907) 361-5394
Fax
(907) 361-4835
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 23877 AK Primary

Addresses

Primary practice location

1076 Gaffney Rd Stop 7400
Ft Wainwright, AK 99703-5001

Mailing address

1060 Gaffney Rd Stop 7400
Ft Wainwright, AK 99703-5007
Phone (907) 361-5394

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
23877AKMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1982249884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD STOP 7400",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035007",
            "telephone_number": "907-361-5394",
            "fax_number": "907-361-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 GAFFNEY RD STOP 7400",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035001",
            "telephone_number": "907-361-5394",
            "fax_number": "907-361-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "LAURA",
        "middle_name": "SUZANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AK",
            "license": "23877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Wainwright, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.