Active NPI
Haley S. Vasuki, PA-C
- Physician Assistant
- Chester, VA
National Provider Identifier
1245531185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110003889
- Practice address
- 13034 Rivers Bend Rd
Chester, VA 23836-2564 - Phone
- (804) 526-5888
- Fax
- (804) 526-5401
- NPI assigned
- Nov 9, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TL1593 | SC | |
| Physician Assistant | 363A00000X | 0110003889 | VA | Primary |
Addresses
Primary practice location
13034 Rivers Bend Rd
Chester, VA 23836-2564
Mailing address
13000 Rivers Bend Blvd
Suite D
Chester, VA 23836-8632
Phone (804) 571-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245531185 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1593 | SC | MD | Chiropractor |
| TL1593 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1245531185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13000 RIVERS BEND BLVD",
"address_2": "SUITE D",
"city": "CHESTER",
"state": "VA",
"postal_code": "238368632",
"telephone_number": "804-571-5000",
"fax_number": "804-518-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13034 RIVERS BEND RD",
"city": "CHESTER",
"state": "VA",
"postal_code": "238362564",
"telephone_number": "804-526-5888",
"fax_number": "804-526-5401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASUKI",
"first_name": "HALEY",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-09",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "TL1593",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110003889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245531185",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chester, VA
- Terra Utter
- Jessica Elizabeth Valencia Ariza, NRCMA, SCD
- Valiant Concierge Medicine
- Lauren Rose Vandenberg, DPT
- Vantastik Transportation LLC
- Virginia Baptist Childrens Home and Family Services (Hope Tree Family Services)
- Virginia CVS Pharmacy LLC (CVS Pharmacy # 01656)
- Virginia CVS Pharmacy LLC (CVS Pharmacy #16406)
- Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy #01798)
- Virginia Heart Group, LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.