Haley Paganucci

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1839 Onslow Dr
Jacksonville, NC 28540-5906

Phone

(910) 455-3610

NPI assigned

Aug 30, 2022

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

Other names 1

• Haley Pendergast Former name

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• A Pediatric Evolution, LLC.

  • Pediatrics Physician
  • Johnston, RI
  • NPI 1770244774
  Medicare reassignment NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1649990664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 ANTHONY RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028715604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 ONSLOW DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405906",
            "telephone_number": "910-455-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1526 Atwood Ave Ste And105",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193275",
            "country_code": "US",
            "telephone_number": "401-642-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGANUCCI",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "PENDERGAST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isabel Pabon
• Lauren N Pace, PSYD
• Tineka Allynese Pace
• Jomari Pacheco Matos
• Kirie M Paddy, LCSW
• Ryan Bradley Page
• Kent Titus Painter, RPH
• Palms Wellness Center
• Palms Wellness Center Inc
• Luis Palomino, MD

• Occupational Therapist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.