Active NPI
Crystal Daisy Haley, HIS
- Hearing Instrument Specialist
- Spokane, WA
National Provider Identifier
1174202139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 61331143
- Practice address
- 6 W Joseph Ave
Spokane, WA 99205-6239 - Phone
- (509) 483-1221
- NPI assigned
- Jul 17, 2023
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 61331143 | WA | Primary |
Addresses
Primary practice location
6 W Joseph Ave
Spokane, WA 99205-6239
Mailing address
10912 E Maxwell Ave
Spokane Valley, WA 99206-2500
Phone (509) 710-2395
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 |
|---|---|---|---|
| 61331143 | WA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1174202139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10912 E MAXWELL AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992062500",
"telephone_number": "509-710-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 W JOSEPH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992056239",
"telephone_number": "509-483-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "CRYSTAL",
"middle_name": "DAISY",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WA",
"license": "61331143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.