Leea Habedank

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

247392 Issued in WI

Practice address

1221 N 2ND Ave Apt 16
Wausau, WI 54401-2685

Phone

(707) 321-4613

NPI assigned

Feb 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581206400000",
    "number": "1992337836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N 2ND AVE APT 16",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012685",
            "telephone_number": "707-321-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N 2ND AVE APT 16",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012685",
            "telephone_number": "707-321-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABEDANK",
        "first_name": "LEEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-09",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "247392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivani Gundamraj, DO
• Christopher Gunderson
• Erik J Gustafson, DO
• Emilee Haag, MS, CCC-SLP
• Michael A Haase, MD
• Anna Hack
• Benjamin J Hackett, MD
• Craig A Hackworth, MD
• Sarah G Hackworth, MD
• Alec Hafferman

• Registered Nurse in Wausau, WI
• Providers in Wausau, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; 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.