Individual provider Active NPI

Haley Fuller, MD

  • Pediatric Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1548603095
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
51836 Issued in KY
Practice address
Norton Children'S Hospital
231 E Chestnut St
Louisville, KY 40202-1821
Phone
(502) 451-9949
Fax
(502) 451-4553
NPI assigned
Apr 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X TP832 KY
Pediatric Anesthesiology Physician 207LP3000X 51836 KY Primary

Addresses

Primary practice location

Norton Children'S Hospital
231 E Chestnut St
Louisville, KY 40202-1821

Mailing address

231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-4900

Other practice location 1

1602 W McClain Ave
Scottsburg, IN 47170-1161
Phone (812) 414-4101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180912001596 KY Practitioner - Anesthesiology 2769629534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51836KYMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC Pediatric Anesthesiology CurrentSince Sep 5, 2023 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Sep 5, 2023 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Osg of in LLC PastSince Mar 20, 2025 Accepting new patients

Locations

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

Organizations & group practices 4

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1548603095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021821",
            "telephone_number": "502-629-4900",
            "fax_number": "502-629-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTON CHILDREN'S HOSPITAL",
            "address_2": "231 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021821",
            "telephone_number": "502-451-9949",
            "fax_number": "502-451-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 W McClain Ave",
            "address_purpose": "LOCATION",
            "city": "Scottsburg",
            "state": "IN",
            "postal_code": "471701161",
            "country_code": "US",
            "telephone_number": "812-414-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "HALEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "KY",
            "license": "TP832",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "KY",
            "license": "51836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.