Julissa Haya, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95021910 Issued in CA

Practice address

900 Colusa Ave Ste 204
Berkeley, CA 94707-2321

Phone

(510) 465-4445

Fax

(510) 208-0437

NPI assigned

May 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• City & County of San Francisco

  • Clinical Medical Laboratory
  • San Francisco, CA
  • NPI 1982737524
  Medicare reassignment NPD
• City & County of San Francisco

  • Community Health/Public Health Clinical Nurse Specialist
  • San Francisco, CA
  • NPI 1609041060
  NPD
• City and County of San Francisco

  • Methadone Clinic
  • San Francisco, CA
  • NPI 1578787925
  NPD

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1144911322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COLUSA AVE STE 204",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072321",
            "telephone_number": "510-465-4445",
            "fax_number": "510-208-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COLUSA AVE STE 204",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072321",
            "telephone_number": "510-465-4445",
            "fax_number": "510-208-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYA",
        "first_name": "JULISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95021910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Haviland
• Ann Hawkins
• Shaneque Alisha Hawkins, M.ED, LPC
• Tobias Hawkins III, RDAT
• Virginia Hawkins, L.N.F.T.
• Saya Hayashi, OD
• Carlos Haycock, RN, LAC
• Joni-Jay Hayes
• Milton Anthony Hayes, RADT-I
• Brett Kenneth Hayley

• Pediatric Nurse Practitioner in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.