Active NPI
Haley Ann Elledge
- Student in an Organized Health Care Education/Training Program
- Long Beach, CA
National Provider Identifier
1568290153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 827 Pacific Ave Apt B
Long Beach, CA 90813-4239 - Phone
- (925) 353-6451
- NPI assigned
- Jul 24, 2024
- Last updated
- Jul 24, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
827 Pacific Ave Apt B
Long Beach, CA 90813-4239
Mailing address
827 Pacific Ave Apt B
Long Beach, CA 90813-4239
Phone (925) 353-6451
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1568290153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 PACIFIC AVE APT B",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908134239",
"telephone_number": "925-353-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 PACIFIC AVE APT B",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908134239",
"telephone_number": "925-353-6451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLEDGE",
"first_name": "HALEY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"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 Long Beach, CA
- Jerik Elizaga
- Carina Elizarraraz
- Georges F Elkhoury, MD
- Denaya Alexis Elkins-Torres, RDN
- Carrie Elkins, RI-E1011051352
- Ellen R Goldsmith, LCSW, Professional Corporation
- Kertara Ellerbe
- Ellie Lipton Licensed Clinical Social Worker, P.C. (Ellie Lipton Therapy Group)
- Catherine Segan Elliott
- James Ernest Elliott III
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.