Active NPI
Mary Ann K Haley, RN
- Registered Nurse
- Cortland, NY
National Provider Identifier
1376796219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 308581-1
- Practice address
- 60 Central Ave
Cortland, NY 13045-2795 - Phone
- (607) 756-3439
- Fax
- (607) 753-5136
- NPI assigned
- Oct 23, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 308581-1 | NY | Primary |
Addresses
Primary practice location
60 Central Ave
Cortland, NY 13045-2795
Mailing address
2111 Song Lake Xing
Tully, NY 13159-3300
Phone (315) 696-5384
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 |
|---|---|---|---|
| 308581-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224720000000",
"number": "1376796219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 SONG LAKE XING",
"city": "TULLY",
"state": "NY",
"postal_code": "131593300",
"telephone_number": "315-696-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 CENTRAL AVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130452795",
"telephone_number": "607-756-3439",
"fax_number": "607-753-5136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "MARY ANN",
"middle_name": "K",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2008-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "308581-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.