Individual provider Active NPI

Donnell Hayden, CSSP

  • Case Management Agency
  • Dallas, TX
National Provider Identifier
1295462539
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Practice address
1111 W Mockingbird LN # 480
Dallas, TX 75247-5028
Phone
(214) 616-8186
NPI assigned
Aug 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1111 W Mockingbird LN # 480
Dallas, TX 75247-5028

Mailing address

3103 McDermott Ave
Dallas, TX 75215-3922
Phone (214) 616-8186

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL gisoldiers@gmail.com Direct
CONNECT URL gisoldiers@yahoo.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Calabri Health LLC. Case Management CurrentSince Sep 1, 2022 Accepting new patients

Locations

1111 W Mockingbird Ln
Ste 480
Dallas, TX 75247
Phone (972) 373-4842

1111 W Mockingbird Ln
Ste 1030
Dallas, TX 75247
Phone (318) 364-9002

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1295462539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 MCDERMOTT AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752153922",
            "telephone_number": "214-616-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W MOCKINGBIRD LN # 480",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752475028",
            "telephone_number": "214-616-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "DONNELL",
        "credential": "CSSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gisoldiers@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3103 McDermott Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752153922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gisoldiers@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Business Email.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3103 McDermott Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752153922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.