Active NPI
Mary Jane Hayes, RN, BSN, CDE
- Diabetes Educator Registered Nurse
- Wahpeton, ND
National Provider Identifier
1063420149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- R31834
- Practice address
- 332 2ND Ave N
Wahpeton, ND 58075-4528 - Phone
- (701) 642-7000
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | R31834 | ND | Primary |
Addresses
Primary practice location
332 2ND Ave N
Wahpeton, ND 58075-4528
Mailing address
1388 17TH Ave N
Wahpeton, ND 58075-3139
Phone (701) 642-1820
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R31834 | ND | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063420149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1388 17TH AVE N",
"city": "WAHPETON",
"state": "ND",
"postal_code": "580753139",
"telephone_number": "701-642-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 2ND AVE N",
"city": "WAHPETON",
"state": "ND",
"postal_code": "580754528",
"telephone_number": "701-642-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "MARY",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "RN, BSN, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "ND",
"license": "R31834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wahpeton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.