Madisan Simone Haslam, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

325860 Issued in NY

Practice address

127 Whaley St
Freeport, NY 11520-4220

Phone

(516) 601-3952

NPI assigned

Sep 3, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1295403111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WHALEY ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204220",
            "telephone_number": "516-601-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 WHALEY ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204220",
            "telephone_number": "516-601-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASLAM",
        "first_name": "MADISAN",
        "middle_name": "SIMONE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "325860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree M. Hamilton, CASAC, ICADC
• Wendy Hardison, COTA
• Harmony Health Care Long Island
• Harmony Health Care Long Island
• Etta Harper, REGISTERED OCCUPATIO
• Horace A Hawthorne, DO
• Health Quest Medical Supply Inc.
• Madeline Heit, LCSW
• Jeffrey A. Heller, OPTICIAN
• Paul L. Heller, OPTICIAN

• Licensed Practical Nurse in Freeport, NY
• Providers in Freeport, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.