Keithley Elise Hale

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1618 W 1St St
Santa Ana, CA 92703-3614

Phone

(714) 558-6009

Fax

(714) 558-6120

NPI assigned

Jan 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Keithley Elise Hale-Agler Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1295006013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23021 LAUREL GROVE CIR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304027",
            "telephone_number": "949-632-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 W 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033614",
            "telephone_number": "714-558-6009",
            "fax_number": "714-558-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "KEITHLEY",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEITHLEY",
            "last_name": "HALE-AGLER",
            "middle_name": "ELISE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shirley Mae Halbur, PNP
• Pretty Shannon Halcromb
• Scott Haldeman, MD
• Alison E. Halderman, OTR L
• Amanda Hale
• Balencia Hall
• Christina Marie Hall
• James Patrick Hall, D.C.
• Quincy Tsai Hall
• Rebecca Anne Hall, LCSW

• Case Manager/Care Coordinator in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.