Active NPI
Jordan Nicole Haisley, NRAEMT, CAPS, MCP
- Health Information Specialist/Technologist
- Muncie, IN
National Provider Identifier
1467975458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Information Specialist/Technologist
- Practice address
- 201 W Roosevelt St
Muncie, IN 47303-1865 - Phone
- (765) 228-8035
- NPI assigned
- Jul 20, 2017
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Information Specialist/Technologist | 246Y00000X | Primary | ||
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | IN | ||
| Rehabilitation Counselor | 225C00000X | IN | ||
| Behavior Technician | 106S00000X | |||
| Intermediate Emergency Medical Technician | 146M00000X | 3089-0062 | IN |
Addresses
Primary practice location
201 W Roosevelt St
Muncie, IN 47303-1865
Mailing address
201 W Roosevelt St
Muncie, IN 47303-1865
Phone (765) 228-8035
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 |
|---|---|---|---|
| 3089-0062 | IN | MD | Intermediate Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| School-Based Behavior Consultation LLC | Assistant Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- New Palestine, IN
- NPI 1275151987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1467975458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W ROOSEVELT ST",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031865",
"telephone_number": "765-228-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W ROOSEVELT ST",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031865",
"telephone_number": "765-228-8035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAISLEY",
"first_name": "JORDAN",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "NRAEMT, CAPS, MCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-20",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "246Y00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information",
"state": null,
"license": null,
"primary": true
},
{
"code": "225CA2400X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "IN",
"license": "3089-0062",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.