Individual provider Active NPI

Haley J Stevens, APRN-NP, DNP

  • Pediatric Nurse Practitioner
  • Bridgeville, PA
National Provider Identifier
1003486044
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP027528 Issued in PA
Practice address
347 Prestley Rd
Bridgeville, PA 15017-1997
Phone
(412) 742-1909
Fax
(855) 632-2510
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2214 NE
Pediatric Nurse Practitioner 363LP0200X C173406 IA
Pediatric Nurse Practitioner 363LP0200X SP027528 PA Primary

Addresses

Primary practice location

347 Prestley Rd
Bridgeville, PA 15017-1997

Mailing address

347 Prestley Rd Ste 2
Bridgeville, PA 15017-1997
Phone (412) 742-1909

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

State licenses

LicenseStateTypeSpecialty
2214NEMDAcute Care Nurse Practitioner
C173406IAMDPediatric Nurse Practitioner
SP027528PAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1003486044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 PRESTLEY RD STE 2",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171997",
            "telephone_number": "412-742-1909",
            "fax_number": "855-632-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 PRESTLEY RD",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171997",
            "telephone_number": "412-742-1909",
            "fax_number": "855-632-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "HALEY",
        "middle_name": "J",
        "credential": "APRN-NP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "2214",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C173406",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP027528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.