Individual provider Active NPI

Haley Samantha Hoagland-Thomas, RN

  • Registered Nurse
  • Placerville, CA
National Provider Identifier
1245997170
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95204961 Issued in CA
Practice address
935B Spring St
Placerville, CA 95667-4523
Phone
(530) 621-6210
NPI assigned
Nov 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95204961 CA Primary

Addresses

Primary practice location

935B Spring St
Placerville, CA 95667-4523

Mailing address

935B Spring St
Placerville, CA 95667-4523
Phone (530) 621-6210

Other names 1

  • Haley Samantha Hoagland Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95204961CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1245997170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935B SPRING ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674523",
            "telephone_number": "530-621-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935B SPRING ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674523",
            "telephone_number": "530-621-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOAGLAND-THOMAS",
        "first_name": "HALEY",
        "middle_name": "SAMANTHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95204961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "HOAGLAND",
            "middle_name": "SAMANTHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.