Individual provider Active NPI

Mari Miyamoto Hayashi, PHD/CCC-SLP

  • Otolaryngology/Facial Plastic Surgery Physician
  • Mechanicsville, VA
National Provider Identifier
1689115768
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
101048206 Issued in VA
Practice address
8409 N Run Medical Dr
Mechanicsville, VA 23116-2309
Phone
(804) 569-6240
Fax
(804) 569-6244
NPI assigned
Mar 9, 2017
Last updated
Mar 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 101048206 VA Primary
Speech-Language Pathologist 235Z00000X 2202001577 VA

Addresses

Primary practice location

8409 N Run Medical Dr
Mechanicsville, VA 23116-2309

Mailing address

8409 N Run Medical Dr
Mechanicsville, VA 23116-2309
Phone (804) 569-6240

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
101048206VAMDOtolaryngology Physician
2202001577VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucker Cardiology Associates PC CurrentSince May 1, 2017 Accepting new patients

Locations

8409 N Run Medical Dr
Mechanicsvlle, VA 23116
Phone (804) 559-9902

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1689115768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 N RUN MEDICAL DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162309",
            "telephone_number": "804-569-6240",
            "fax_number": "804-569-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 N RUN MEDICAL DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162309",
            "telephone_number": "804-569-6240",
            "fax_number": "804-569-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYASHI",
        "first_name": "MARI",
        "middle_name": "MIYAMOTO",
        "credential": "PHD/CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "VA",
            "license": "101048206",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202001577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.