Active NPI
Haley Elizabeth Vargo, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Olive Branch, MS
National Provider Identifier
1346964418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 905554
- Practice address
- 7155 Kerr PL
Olive Branch, MS 38654-1640 - Phone
- (901) 497-6827
- NPI assigned
- Oct 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 905554 | MS | Primary |
Addresses
Primary practice location
7155 Kerr PL
Olive Branch, MS 38654-1640
Mailing address
4150 Summers Place Dr
Olive Branch, MS 38654-7286
Phone (901) 326-2068
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905554 | MS | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1346964418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 SUMMERS PLACE DR",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386547286",
"telephone_number": "901-326-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7155 KERR PL",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386541640",
"telephone_number": "901-497-6827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGO",
"first_name": "HALEY",
"middle_name": "ELIZABETH",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "905554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.