Active NPI
Doris D Haley, RN
- Case Management Registered Nurse
- Greenville, SC
National Provider Identifier
1356671572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- R40622
- Practice address
- 1007 Pendleton St
Greenville, SC 29601-2315 - Phone
- (864) 242-1747
- NPI assigned
- Jan 11, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | R40622 | SC | Primary |
| Rehabilitation Registered Nurse | 163WR0400X | R40622 | SC |
Addresses
Primary practice location
1007 Pendleton St
Greenville, SC 29601-2315
Mailing address
5 Westin St
Taylors, SC 29687-6341
Phone (864) 505-6747
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R40622 | SC | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1356671572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 WESTIN ST",
"city": "TAYLORS",
"state": "SC",
"postal_code": "296876341",
"telephone_number": "864-505-6747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 PENDLETON ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012315",
"telephone_number": "864-242-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "DORIS",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "SC",
"license": "R40622",
"primary": true
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "SC",
"license": "R40622",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.