Active NPI
Haley Heather, ATP
- Other Technician
- Tyler, TX
National Provider Identifier
1477346138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 100138
- Practice address
- 4413 Tyler Park Dr Ste a
Tyler, TX 75703-3123 - Phone
- (903) 592-3300
- Fax
- (888) 633-7575
- NPI assigned
- May 27, 2025
- Last updated
- May 27, 2025
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 100138 | TX | Primary |
Addresses
Primary practice location
4413 Tyler Park Dr Ste a
Tyler, TX 75703-3123
Mailing address
590 Cheryl St
Pilot Point, TX 76258-1547
Phone (870) 692-1747
Other names 1
- Haley Baugh
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 |
|---|---|---|---|
| 100138 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1477346138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 CHERYL ST",
"city": "PILOT POINT",
"state": "TX",
"postal_code": "762581547",
"telephone_number": "870-692-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4413 TYLER PARK DR STE A",
"city": "TYLER",
"state": "TX",
"postal_code": "757033123",
"telephone_number": "903-592-3300",
"fax_number": "888-633-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATHER",
"first_name": "HALEY",
"name_prefix": "Mrs.",
"credential": "ATP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "TX",
"license": "100138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HALEY",
"last_name": "BAUGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tyler, TX
- Hearinglife Texas, LLC
- Kandiss Elizabeth Hearn, APRN, FNP-C
- Sandra Jean Hearnsberger, RN
- Heart to Heart Hospice of Tyler LTD
- Hayden Lee Heath Jr., M.S., BCBA, LBA
- Heaton Ear Nose and Throat Associates of East Texas P a (ENT Associates of East Texas)
- Heaton Health Services Agency LLC
- Heaton Laser and Surgery Center L L C
- Charles Lawson Heaton, M. D.
- Steuart Lawrence Heaton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.