Theressa W Hadley

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1422 Kettles Ave
Lakeland, FL 33805-3664

Phone

(863) 944-5155

NPI assigned

Jun 11, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1154814440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 KETTLES AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053664",
            "telephone_number": "863-944-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 KETTLES AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053664",
            "telephone_number": "863-944-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "THERESSA",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Carr Habash
• Husam Habboub, M. D.
• Todd Haber, MD
• Kelly Kallstrom Haddad, CNA
• Sarah Haddaoui, MD
• Myra Hafer, COTA/L
• Sabra Larae Hagan
• Brianna Nicole Haggerty
• Kathleen Haggerty, MD
• Jamie Lynn Hahn, APRN FNP-C

• Home Health Aide in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.