Jennifer T Haley, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

47465 Issued in CO

Practice address

3480 Wolverine Dr
Suite F
Montrose, CO 81401-4965

Phone

(970) 252-7444

Fax

(970) 252-3446

NPI assigned

Sep 26, 2005

Last updated

Apr 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haley Dermatology & Skin Care Center, P.C.

  • Medical Specialty Clinic/Center
  • Montrose, CO
  • NPI 1245471085
  Authorized official Same address or phone
• Cynthia J Price MD PLLC

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1578068250
  NPD (past)
• US Path Labs LLC

  • Clinical Medical Laboratory
  • Boca Raton, FL
  • NPI 1720103013
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1275529224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 WOLVERINE DRIVE STE F",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014965",
            "telephone_number": "970-252-7444",
            "fax_number": "970-252-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 WOLVERINE DR",
            "address_2": "SUITE F",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014965",
            "telephone_number": "970-252-7444",
            "fax_number": "970-252-3446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18325 N Allied Way Ste 120",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850543107",
            "country_code": "US",
            "telephone_number": "928-776-0325",
            "fax_number": "928-776-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEY",
        "first_name": "JENNIFER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "47465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laken Guza
• Ryan James Hagens, MD
• Nancy K Haggar, RPH
• James Edward Hagins, LPC
• Haley Dermatology & Skin Care Center, P.C.
• Alexandra M. Hamilton, LCPC
• Kailey Hand
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Amy Louise Hanley, OTR
• Richard G Hanley I, MD

• Dermatology Physician in Montrose, CO
• Providers in Montrose, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.