Nicole Elizabeth Haney, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

321912 Issued in AZ

Practice address

20770 W Market St Ste 101
Buckeye, AZ 85396-8042

Phone

(032) 162-3873

NPI assigned

Aug 30, 2021

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 names 1

• Nicole Nelson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• West Valley Pediatrics, P.C.

  • Pediatrics Physician
  • Avondale, AZ
  • NPI 1619195971
  NPD (past)

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1265100903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16569 W CHARLOTTE DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853872190",
            "telephone_number": "623-698-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20770 W MARKET ST STE 101",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853968042",
            "telephone_number": "032-162-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "321912",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN200834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NELSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marci Lynn Hageman, FNP
• Brooklyn Rae Hagerman, D.M.D.
• Milkias Hailu
• Michael Hall
• Jungwuk Han, MD
• Happy's Home LLC
• James Cameron Harmeyer, PN1-NC
• Angela N Harper
• John Harrell
• Lucas Alexander Harrell, PHARMD

• Pediatric Nurse Practitioner in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.