Active NPI
Nicole Y Hayslett, PT
- Physical Therapist
- Frederick, MD
National Provider Identifier
1710651146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17383
- Practice address
- 194 Thomas Johnson Dr Ste B
Frederick, MD 21702-4683 - Phone
- (301) 418-6434
- NPI assigned
- Aug 9, 2021
- Last updated
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17383 | MD | Primary |
Addresses
Primary practice location
194 Thomas Johnson Dr Ste B
Frederick, MD 21702-4683
Mailing address
9101 Wesleyan Rd Ste 100
Indianapolis, IN 46268-3103
Phone (800) 603-6046
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17383 | MD | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1710651146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9101 WESLEYAN RD STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683103",
"telephone_number": "800-603-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 THOMAS JOHNSON DR STE B",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024683",
"telephone_number": "301-418-6434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYSLETT",
"first_name": "NICOLE",
"middle_name": "Y",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "17383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.