NPIMap

Individual provider Active NPI

Deanna L Haugh, CRN P

  • Nurse Practitioner
  • Southampton, PA
National Provider Identifier
1669578860
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP008307 Issued in PA
Practice address
1844 Street Rd
Southampton, PA 18966-4582
Phone
(215) 357-4066
Fax
(215) 364-2572
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP008307 PA Primary

Addresses

Primary practice location

1844 Street Rd
Southampton, PA 18966-4582

Mailing address

1648 Huntingdon Pike
Medical Staff Office 1St FLR
Meadowbrook, PA 19046-8001
Phone (215) 938-3450

Other names 1

  • Deanna Walsh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061011000652 PA Practitioner - Nurse Practitioner 1254337470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

201 Veterans Way
James W Flanagan MD Family Practice
Warmister, PA 18974-3534
Phone (215) 357-4066

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc. CurrentSince Nov 1, 2012 Accepting new patients
HR Physician Services CurrentSince May 6, 2019 Accepting new patients
Temple Physician Inc. CurrentSince Nov 1, 2012 Accepting new patients
HR Physician Services Current Accepting new patients
Temple Physicians Inc Nurse Practitioner Current Accepting new patients
HR Physician Services CurrentSince May 6, 2019 Accepting new patients
Temple Physicians Inc Past Accepting new patients
HR Physician Services Past Accepting new patients

Locations

3300 Tillman Dr
Bensalem, PA 19020
Phone (215) 244-7400

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

1650 Huntingdon Pike
Ste 2
Meadowbrook, PA 19046
Phone (215) 938-3230

1648 Huntingdon Pike
Ofc 1ST
Meadowbrook, PA 19046

7500 Central Ave
Ste 104
Philadelphia, PA 19111
Phone (215) 742-0712

1844 Street Rd
Southampton, PA 18966
Phone (215) 357-4066

201 Veterans Way
Warminster, PA 18974
Phone (215) 357-4066

Interoperability endpoints

  • Direct secure messaging: deanna.haugh.1@17399.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1669578860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "address_2": "MEDICAL STAFF OFFICE 1ST FLR",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-3450",
            "fax_number": "215-938-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664582",
            "telephone_number": "215-357-4066",
            "fax_number": "215-364-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGH",
        "first_name": "DEANNA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CRN P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2021-07-08",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "WALSH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.