Active NPI
Meghan Haggerty
- Medical Physician Assistant
- Orlando, FL
National Provider Identifier
1578455580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 9120854
- Practice address
- 1910 N Orange Ave
Orlando, FL 32804-5559 - Phone
- (407) 898-1451
- NPI assigned
- Jul 16, 2025
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9120854 | FL | Primary |
Addresses
Primary practice location
1910 N Orange Ave
Orlando, FL 32804-5559
Mailing address
1910 N Orange Ave
Orlando, FL 32804-5559
Phone (407) 898-1451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260210002002 | FL | Order and Referring Only - Physician Assistant | 2062991052 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9120854 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766275200000",
"number": "1578455580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 N ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045559",
"telephone_number": "407-898-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 N ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045559",
"telephone_number": "407-898-1451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGERTY",
"first_name": "MEGHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-16",
"last_updated": "2025-12-21",
"certification_date": "2025-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "9120854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2025; 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.