Crystal Hadley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

6604727-3102 Issued in UT

Practice address

477 23Rd Street
Ogden, UT 84401

Phone

(801) 399-7236

Fax

(801) 399-7256

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• County of Weber

  • Public Health or Welfare Agency
  • Ogden, UT
  • NPI 1972515492
  NPD (past)

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1689144248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 23RD STREET",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84401",
            "telephone_number": "801-399-7236",
            "fax_number": "801-399-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 23RD STREET",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84401",
            "telephone_number": "801-399-7236",
            "fax_number": "801-399-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "CRYSTAL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "6604727-3102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U000094010",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529949454073",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "998877666002",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000308011",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Truanne Jean Haas
• Deborah Anthony Hackett, M.D.
• Joann Hackley, R.N.
• Angela Hadley
• Chelsie Hadley
• Joan L Hadley, FNP
• Nathan Mark Hadley, LCSW
• Susanh Chapple Hadley, TCM
• Elizabeth A Hafen, M.S. SLP-CCC
• Matthew A Hagemeyer, MD

• Registered Nurse in Ogden, UT
• Providers in Ogden, UT by specialty
• Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.