Active NPI
Megan L Hayden, PEER SUPPORT
- Specialist
- Martinsville, IN
National Provider Identifier
1154157659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- CAPR1-6038
- Practice address
- 504 Grand Valley Blvd
Martinsville, IN 46151-5883 - Phone
- (757) 343-6633
- NPI assigned
- Sep 11, 2024
- Last updated
- Sep 11, 2024
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | CAPR1-6038 | IN | Primary |
Addresses
Primary practice location
504 Grand Valley Blvd
Martinsville, IN 46151-5883
Mailing address
504 Grand Valley Blvd
Martinsville, IN 46151-5883
Phone (765) 343-6633
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 |
|---|---|---|---|
| CAPR1-6038 | IN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1154157659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 GRAND VALLEY BLVD",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461515883",
"telephone_number": "765-343-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 GRAND VALLEY BLVD",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461515883",
"telephone_number": "757-343-6633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN",
"first_name": "MEGAN",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "PEER SUPPORT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "CAPR1-6038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.