Individual provider Active NPI

Haley Girard, PA-C

  • Physician Assistant
  • Arlington, TX
National Provider Identifier
1477244382
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17118 Issued in TX
Practice address
3533 Matlock Rd
Arlington, TX 76015-3604
Phone
(817) 419-0303
Fax
(833) 626-1951
NPI assigned
May 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA17118 TX Primary

Addresses

Primary practice location

3533 Matlock Rd
Arlington, TX 76015-3604

Mailing address

4305 Overbrook Dr
Celina, TX 75009-0797
Phone (806) 433-5414

Other practice location 1

4305 Overbrook Dr
Celina, TX 75009-0797
Phone (806) 433-5414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918002334 TX Practitioner - Physician Assistant 1759745169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Tmi Sports Medicine and Orthopedic Surgery PAGroup PAC ID 1052399508, 19 clinicians

Practice addresses (Care Compare)

3533 Matlock Rd
Arlington, TX 76015-3604
Phone (817) 419-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tmi Sports Medicine and Orthopedic Surgery PA Multi-Specialty CurrentSince Aug 28, 2023 Accepting new patients
Tmi Sports Medicine and Orthopedic Surgery PA Multi-Specialty CurrentSince Aug 28, 2023 Accepting new patients

Locations

3533 Matlock Rd
Arlington, TX 76015
Phone (817) 419-0303

11000 Frisco St
Ste 200
Frisco, TX 75033
Phone (469) 935-7775

76 Regency Pkwy
Mansfield, TX 76063
Phone (817) 419-0303

Interoperability endpoints

  • Direct secure messaging: haley.girard.1@25955.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1477244382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 OVERBROOK DR",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750090797",
            "telephone_number": "806-433-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153604",
            "telephone_number": "817-419-0303",
            "fax_number": "833-626-1951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4305 Overbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Celina",
            "state": "TX",
            "postal_code": "750090797",
            "country_code": "US",
            "telephone_number": "806-433-5414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "HALEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.