HAYVEN INTEGRATIVE HEALTH, A PROFESSIONAL MEDICAL CORPORATION
NPI 1669209425
Nurse Practitioner - Women's Health in Rancho Cucamonga, CA

Active since September 16, 2024
11553 FOOTHILL BLVD STE 22, RANCHO CUCAMONGA, CA 91730(909) 286-7846(909) 265-9406 Get Directions Write a Review

NPPES record last updated: May 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2026, Sep 16, 2024 (2 updates tracked since 2024).

About Hayven Integrative Health, A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAYVEN INTEGRATIVE HEALTH, A PROFESSIONAL MEDICAL CORPORATION (NPI 1669209425), doing business as Genesis Aesthetics & Wellness, Nursing Corp., is a healthcare organization registered as a women's health in Rancho Cucamonga, California and active in the NPI registry since September 2024. The organization lists Sherri L. Hull, Ceo/np, as its authorized official.

NPPES Registry Identity

NPI1669209425
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameHAYVEN INTEGRATIVE HEALTH, A PROFESSIONAL MEDICAL CORPORATION
Location Address11553 FOOTHILL BLVD STE 22Rancho Cucamonga, CA 91730-0730
Mailing Address11553 Foothill Blvd Ste 22Rancho Cucamonga, CA 91730-0730 · (909) 317-3759 · Fax (909) 760-4957
Fax(909) 265-9406
Organization SubpartNo
Authorized OfficialSherri L. HullCeo/np · (661) 449-7957
Enumeration DateSeptember 16, 2024
Last NPPES UpdateMay 17, 20262 updates tracked since enumeration
NPPES CertifiedMay 17, 2026
NPI 1669209425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
11553 FOOTHILL BLVD STE 22, Rancho Cucamonga, CA 91730

Other Names 1

Former Legal Business NameGenesis Aesthetics & Wellness, Nursing Corp.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hayven Integrative Health, A Professional Medical Corporation's NPI number?

The NPI number for Hayven Integrative Health, A Professional Medical Corporation is 1669209425. It was assigned to this organization in the NPPES registry on September 16, 2024. The provider was formerly known as Genesis Aesthetics & Wellness, Nursing Corp..

Where is Hayven Integrative Health, A Professional Medical Corporation located?

Hayven Integrative Health, A Professional Medical Corporation is located at 11553 Foothill Blvd Ste 22, Rancho Cucamonga, CA 91730. The listed phone number is (909) 286-7846.

What is Hayven Integrative Health, A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Hayven Integrative Health, A Professional Medical Corporation was last updated on May 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.