Renae Josephine Haldeman, OMD

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

2062 Issued in NV

Practice address

3455 Cliff Shadows Pkwy Ste 110
Las Vegas, NV 89129-1076

Phone

(702) 258-7860

NPI assigned

Oct 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1184340416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 CLIFF SHADOWS PKWY STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891291076",
            "telephone_number": "702-258-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 CLIFF SHADOWS PKWY STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891291076",
            "telephone_number": "702-258-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDEMAN",
        "first_name": "RENAE",
        "middle_name": "JOSEPHINE",
        "credential": "OMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NV",
            "license": "2062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR TERRY PFAU",
            "identifier": "88801983",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "chARM",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3455 Cliff Shadows Pkwy Ste 110",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891291076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tamika Lanae Hal
• Tomikia Sherice Hal
• Elizabeth Halatsis
• Daniel W. Halby, D.O.
• Halcyon Services
• Bryan Halderman
• Charlotte Halderman
• Gabrielle Haldon
• Hale and Downey Family Dentistry, P.C.
• Hale Koa Counseling Services LLC

• Acupuncturist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Acupuncturist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.