Active NPI
Susan F Halley, ARNP
- Family Nurse Practitioner
- Boca Raton, FL
National Provider Identifier
1417487745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9344800
- Practice address
- 9910 Sandalfoot Blvd Ste 1
Boca Raton, FL 33428-6692 - Phone
- (561) 883-3030
- Fax
- (561) 852-7611
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9344800 | FL | Primary |
Addresses
Primary practice location
9910 Sandalfoot Blvd Ste 1
Boca Raton, FL 33428-6692
Mailing address
9910 Sandalfoot Blvd Ste 1
Boca Raton, FL 33428-6692
Phone (561) 883-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9344800 | Other | FL | ARNP FLORIDA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1417487745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 SANDALFOOT BLVD STE 1",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334286692",
"telephone_number": "561-883-3030",
"fax_number": "561-852-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9910 SANDALFOOT BLVD STE 1",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334286692",
"telephone_number": "561-883-3030",
"fax_number": "561-852-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLEY",
"first_name": "SUSAN",
"middle_name": "F",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9344800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP FLORIDA LICENSE",
"identifier": "9344800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.