Western Avenue Family Practice LLC
NPI 1447713052ActiveOrganization· Nurse Practitioner, Family· Hamilton, OH
Nurse Practitioner, Family in Hamilton, Ohio, registered in NPPES in April 2019. The authorized official on file is Kimberly C. Haugabook, APRN, FNP-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1447713052 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 10, 2019 |
| Last updated in NPPES | Feb 22, 2023 |
| Certified by provider | Feb 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
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