Hailey Phelps

Key facts

NPI

1558049981

Entity type

Individual (NPI type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program 390200000X

Practice address

1512 12TH St
Onawa, IA 51040-1718

Phone

(712) 420-3106

NPI assigned

Jul 6, 2023

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 6, 2023.

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1558049981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 12TH ST",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401718",
            "telephone_number": "712-420-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 12TH ST",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401718",
            "telephone_number": "712-420-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "HAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onawa, IA

• Sarah Beth Morgan, PAC
• Gail Ann Moser, PAC
• Kathryn L Mosier, PTA
• Kimberly Nelson, CADC
• Barbara J Parks, PTA
• Ann Renee Phillips, RD
• Ashton Marie Pruett, ARNP
• Jessica Lynn Renz, NP-C
• Sanford Health Network
• Shopko Stores Operating Co LLC

All providers in Onawa, IA · Student in an Organized Health Care Education/Training Program in Iowa