Jennifer Daugherty Halloran, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200300986 Issued in NC

Practice address

100 E Dune St
Nags Head, NC 27959-8848

Phone

(252) 449-5200

Fax

(252) 449-5205

NPI assigned

May 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2021 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jennifer.halloran@239247943598084.direct.elationemr.com

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1255334652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E DUNE ST",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598848",
            "telephone_number": "252-449-5200",
            "fax_number": "252-449-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E DUNE ST",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598848",
            "telephone_number": "252-449-5200",
            "fax_number": "252-449-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLORAN",
        "first_name": "JENNIFER",
        "middle_name": "DAUGHERTY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200300986",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200300986",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135U7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonelle Ulep Haigh, D.O.
• Christine Bui Hall, D.C.
• Jaclyn Eva Hall, RDN, LDN
• Philip Isaac Hall, DO
• William Tuttle Hall, D.C
• Tracey Elizabeth Beard Hansel, M.D.
• David W Hargraves, DC
• Jennifer Needs Demartino Harrison, DO
• Troy Haupt, CRNA
• Healtheast Family Care of Nags Head

• Internal Medicine Physician in Nags Head, NC
• Providers in Nags Head, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.