Evelyn Haley, C.N.M

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

9313099 Issued in FL

Practice address

501 NW Lake Whitney PL Ste 106
Port St Lucie, FL 34986-1615

Phone

(772) 785-8000

NPI assigned

May 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1477720381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 SE WILLOUGHBY BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349945060",
            "telephone_number": "772-219-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW LAKE WHITNEY PL STE 106",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861615",
            "telephone_number": "772-785-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "EVELYN",
        "credential": "C.N.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "56607",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WV",
            "license": "111",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "9313099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003243400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Habyan, BA
• Kelly Hadley, PT
• Hadley'S Home Health Services LLC
• Sadaf Hafeez, MD
• Kelly Rae Hagan, COTA/L
• Jazmin Constance Hall, APRN
• Taylor Haluck, APRN
• Angela Hamilton
• Rakia Hamilton
• Cadedra L Hamm, OTA

• All providers in Port St Lucie, FL
• Advanced Practice Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.