Individual provider Active NPI

Annie Mali Hadfield, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Laguna Niguel, CA
National Provider Identifier
1265041651
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95014972 Issued in CA
Practice address
28 Stoney PT
Laguna Niguel, CA 92677-1001
Phone
(949) 338-3566
NPI assigned
Jul 30, 2020
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95014972 CA Primary

Addresses

Primary practice location

28 Stoney PT
Laguna Niguel, CA 92677-1001

Mailing address

28 Stoney PT
Laguna Niguel, CA 92677-1001
Phone (949) 338-3566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201116002884 CA Practitioner - Nurse Practitioner 7911318365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1265041651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 STONEY PT",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771001",
            "telephone_number": "949-338-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 STONEY PT",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771001",
            "telephone_number": "949-338-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADFIELD",
        "first_name": "ANNIE",
        "middle_name": "MALI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95014972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.