Renee Dawn Haliburton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6419 Issued in MN

Practice address

85 Pleasant Dr
Hastings, MN 55033-1648

Phone

(651) 480-4168

Fax

(651) 480-4339

NPI assigned

Dec 26, 2007

Last updated

Apr 7, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: rhaliburton168279@excellian.direct.allina.com

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.

• Allina Health System

  dba Allina Health Inver Grove Heights Clinic

  • Family Medicine Physician
  • Inver Grove Heights, MN
  • NPI 1083910871
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1700060761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 PLEASANT DR",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550331648",
            "telephone_number": "651-480-4168",
            "fax_number": "651-480-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PLEASANT DR",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550331648",
            "telephone_number": "651-480-4168",
            "fax_number": "651-480-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALIBURTON",
        "first_name": "RENEE",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Marie-Courts Greunke
• Kristin Grew, MAAC-AP, LADC
• Jackson Adonis Grey
• Dana Gunderson, DDS
• Hunter Hager, MA, LADC
• Han Hastings, LLC
• Linda K Hansen, M.A., L.P.
• Hanson and Hanson Addiction Specialists
• Brightstar BJ Harmon-Inyang
• Julie A Hassell, PT

• Physical Therapist in Hastings, MN
• Providers in Hastings, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.