Individual provider Active NPI

Sharon Lee Haney, RN, CNM

  • Advanced Practice Midwife
  • Willowbrook, IL
National Provider Identifier
1477679710
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209000360 Issued in IL
Practice address
545 Plainfield Rd
Suite C
Willowbrook, IL 60527-7600
Phone
(630) 654-2229
Fax
(630) 655-3270
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209000360 IL Primary

Addresses

Primary practice location

545 Plainfield Rd
Suite C
Willowbrook, IL 60527-7600

Mailing address

545 Plainfield Rd
Suite C
Willowbrook, IL 60527-7600
Phone (630) 654-2229

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: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209000360ILMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1477679710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PLAINFIELD RD",
            "address_2": "SUITE C",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277600",
            "telephone_number": "630-654-2229",
            "fax_number": "630-655-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 PLAINFIELD RD",
            "address_2": "SUITE C",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277600",
            "telephone_number": "630-654-2229",
            "fax_number": "630-655-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "SHARON",
        "middle_name": "LEE",
        "credential": "RN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209000360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

Verify at the official NPI Registry.