Individual provider Active NPI

Debra Susan Hayes, FNP

  • Family Medicine Physician
  • Centerpoint, IN
National Provider Identifier
1477192151
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28195033A Issued in IN
Practice address
1399 S Saline 4TH St
Centerpoint, IN 47840-8217
Phone
(812) 605-4887
NPI assigned
Dec 30, 2019
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 71010040A IN
Family Medicine Physician 207Q00000X 28195033A IN Primary

Addresses

Primary practice location

1399 S Saline 4TH St
Centerpoint, IN 47840-8217

Mailing address

1399 S Saline 4TH St
Centerpoint, IN 47840-8217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220111001227 IN Order and Referring Only - Family PracticePractitioner - Family Practice 7618369216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71010040AINMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: suzie.hayes.1@33105.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1477192151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 S SALINE 4TH ST",
            "city": "CENTERPOINT",
            "state": "IN",
            "postal_code": "478408217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 S SALINE 4TH ST",
            "city": "CENTERPOINT",
            "state": "IN",
            "postal_code": "478408217",
            "telephone_number": "812-605-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "DEBRA",
        "middle_name": "SUSAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "71010040A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "28195033A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerpoint, IN

Sources for this page

Verify at the official NPI Registry.