Individual provider Active NPI

Gerry Hadaway, M.S., M.AC.

  • Acupuncturist
  • Rehoboth Beach, DE
National Provider Identifier
1306042387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U00647 Issued in MD
Practice address
35252 Hudson Way
Unit 2
Rehoboth Beach, DE 19971-4419
Phone
(302) 644-8944
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U00647 MD Primary

Addresses

Primary practice location

35252 Hudson Way
Unit 2
Rehoboth Beach, DE 19971-4419

Mailing address

35252 Hudson Way
Unit 2
Rehoboth Beach, DE 19971-4419
Phone (302) 644-8944

Other identifiers 1

IdentifierTypeStateIssuer
U00647OtherMDMARYLAND STATE BOARD

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
U00647MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306042387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35252 HUDSON WAY",
            "address_2": "UNIT 2",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714419",
            "telephone_number": "302-644-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35252 HUDSON WAY",
            "address_2": "UNIT 2",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714419",
            "telephone_number": "302-644-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADAWAY",
        "first_name": "GERRY",
        "credential": "M.S., M.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE BOARD",
            "identifier": "U00647",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.