Active NPI
Erin Jo Haley, RDH, MS, PHRDH
- Dental Hygienist
- Lincoln, NE
National Provider Identifier
1174827307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1252
- Practice address
- 2324 S 75TH St
Lincoln
Lincoln, NE 68506-3001 - Phone
- (402) 440-7076
- NPI assigned
- Jan 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 51 | NE | |
| Dental Hygienist | 124Q00000X | 1252 | NE | Primary |
Addresses
Primary practice location
2324 S 75TH St
Lincoln
Lincoln, NE 68506-3001
Mailing address
2324 S 75TH St
Lincoln
Lincoln, NE 68506-3001
Phone (402) 440-7076
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51 | NE | MD | Mental Health Counselor |
| 1252 | NE | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1174827307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2324 S 75TH ST",
"address_2": "LINCOLN",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063001",
"telephone_number": "402-440-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 S 75TH ST",
"address_2": "LINCOLN",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063001",
"telephone_number": "402-440-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "ERIN",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "RDH, MS, PHRDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-03",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NE",
"license": "51",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NE",
"license": "1252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.