Individual provider Active NPI

Haley Nicole Dime

  • Behavior Technician
  • Callaway, FL
National Provider Identifier
1194451625
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT22224360 Issued in FL
Practice address
850 N Tyndall Pkwy
Callaway, FL 32404-9407
Phone
(850) 866-0441
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT22224360 FL Primary

Addresses

Primary practice location

850 N Tyndall Pkwy
Callaway, FL 32404-9407

Mailing address

415 N Richard Jackson Blvd
Panama City Beach, FL 32407-3664
Phone (850) 866-0441

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

LicenseStateTypeSpecialty
RBT22224360FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Wsi Learning Centers Inc PastSince Jul 31, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1194451625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N RICHARD JACKSON BLVD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073664",
            "telephone_number": "850-866-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N TYNDALL PKWY",
            "city": "CALLAWAY",
            "state": "FL",
            "postal_code": "324049407",
            "telephone_number": "850-866-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIME",
        "first_name": "HALEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT22224360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Callaway, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.