Active NPI
Haley Jane Vanstaalduinen
- Speech-Language Pathologist
- Wake Forest, NC
National Provider Identifier
1124581723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13437
- Practice address
- 9413 Woodlief Rd
Wake Forest, NC 27587-8993 - Phone
- (919) 624-6620
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13437 | NC | Primary |
Addresses
Primary practice location
9413 Woodlief Rd
Wake Forest, NC 27587-8993
Mailing address
9413 Woodlief Rd
Wake Forest, NC 27587-8993
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1124581723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9413 WOODLIEF RD",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275878993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9413 WOODLIEF RD",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275878993",
"telephone_number": "919-624-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANSTAALDUINEN",
"first_name": "HALEY",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "13437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
- Kathy Uveges
- Ralf Randall Valencia
- Adrienne Nichole Valentino, RD, MHS, LDN, BSPH
- Adrienne Valero, DDS
- Shea Rene Van Schuyver, MA, LMFT
- Alicia Lauren Varone, OTR/L
- Elizabeth Vaughan, MSN, APRN, CPNP-PC
- Jackelin Jennifer Veloz-Jefferson, EDS
- Verity Therapeutic Services, PLLC
- Minnie Simmons Vickers, MSW, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.