Active NPI
Tina Marie Haig, MSPT
- Community Health Worker
- Yardley, PA
National Provider Identifier
1114243284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- PT015773
- Practice address
- 357 Denny Dr
Yardley, PA 19067-4606 - Phone
- (215) 493-5406
- NPI assigned
- Apr 14, 2010
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | PT015773 | PA | Primary |
Addresses
Primary practice location
357 Denny Dr
Yardley, PA 19067-4606
Mailing address
357 Denny Dr
Yardley, PA 19067-4606
Phone (215) 493-5406
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT015773 | PA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1114243284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 DENNY DR",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190674606",
"telephone_number": "215-493-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 DENNY DR",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190674606",
"telephone_number": "215-493-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIG",
"first_name": "TINA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-14",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "PA",
"license": "PT015773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.