Individual provider Active NPI

Hayley Nicole Haralson, CPM

  • Midwife
  • Litchfield Park, AZ
National Provider Identifier
1710449293
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM280 Issued in AZ
Practice address
4870 N Litchfield Rd Ste 101
Litchfield Park, AZ 85340-5041
Phone
(405) 658-6248
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5114 OK
Midwife 176B00000X LM280 AZ Primary

Addresses

Primary practice location

4870 N Litchfield Rd Ste 101
Litchfield Park, AZ 85340-5041

Mailing address

13348 W Ocupado Dr
Peoria, AZ 85383-6079
Phone (405) 658-6248

Other practice location 1

9065 Harmony Dr
Midwest City, OK 73130-6217
Phone (405) 397-3550

Other practice location 2

1416 Shadow Ter
Yukon, OK 73099-3110
Phone (405) 658-6248

Other practice location 3

1416 Shadow Ter
Yukon, OK 73099-3110
Phone (405) 658-6248

Other practice location 4

9065 Harmony Dr
Midwest City, OK 73130-6217
Phone (405) 397-3550

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

State licenses

LicenseStateTypeSpecialty
LM280AZMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1710449293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13348 W OCUPADO DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836079",
            "telephone_number": "405-658-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 N LITCHFIELD RD STE 101",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405041",
            "telephone_number": "405-658-6248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9065 Harmony Dr",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731306217",
            "country_code": "US",
            "telephone_number": "405-397-3550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1416 Shadow Ter",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730993110",
            "country_code": "US",
            "telephone_number": "405-658-6248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1416 Shadow Ter",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730993110",
            "country_code": "US",
            "telephone_number": "405-658-6248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9065 Harmony Dr",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731306217",
            "country_code": "US",
            "telephone_number": "405-397-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARALSON",
        "first_name": "HAYLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "5114",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": "LM280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.