Haley Fuller, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

F002321-01 Issued in NY

Practice address

90 Presidential Plaza
1St FL
Syracuse, NY 13202

Phone

(315) 464-5210

Fax

(315) 464-2141

NPI assigned

Sep 5, 2024

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hfuller163002@direct.upstate.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University OB/GYN Associates

  • Gynecology Physician
  • Syracuse, NY
  • NPI 1235170150
  Medicare reassignment NPD
• Suny Health Science Center at Syracuse

  dba Upstate Outpatient Pharmacy at Nappi

  • Pharmacy
  • Syracuse, NY
  • NPI 1306567474
  NPD (past)

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1578398897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PRESIDENTIAL PLAZA",
            "address_2": "1ST FL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-464-5210",
            "fax_number": "315-464-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PRESIDENTIAL PLAZA",
            "address_2": "1ST FL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-464-5210",
            "fax_number": "315-464-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "HALEY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-12-16",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F002321-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel S Fuleihan, MD FACC
• Donna M Fullagar Owens, PT
• Christopher J Fullagar, MD
• Bridget R Fuller, LCSW
• Dale W Fuller, LCSW
• Jennifer Fuller, LMHC
• Kolleen Marian Fuller, RNNP
• Melissa Fuller
• Paul G Fuller Jr., MD
• Rebecca Lynn Fuller, RD, CDN

• Midwife in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.