Michelle Leila Hazlebeck, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110004632 Issued in VA

Practice address

6160 Kempsville Cir Ste 200a
Norfolk, VA 23502-3945

Phone

(757) 622-6315

NPI assigned

Jul 10, 2014

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

Other names 1

• Michelle Leila Sloneker Former name

Medicare fee-for-service enrollment

Enrolled in VA, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: michelle.hazlebeck.1@28334.direct.athenahealth.com

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.

• Pariser Dermatology Specialists LTD

  • Dermatology Physician
  • Norfolk, VA
  • NPI 1417047952
  Medicare reassignment
• MD Solutions Medical Corp

  • Dermatology Physician
  • Sherman Oaks, CA
  • NPI 1902837735
  Medicare reassignment

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720494792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "address_2": "EVMS MEDICAL GROUP",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235010936",
            "telephone_number": "757-446-8960",
            "fax_number": "757-446-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR STE 200A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023945",
            "telephone_number": "757-622-6315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11842 Rock Landing Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064437",
            "country_code": "US",
            "telephone_number": "757-595-8816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Bulifants Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885732",
            "country_code": "US",
            "telephone_number": "757-564-8535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Breezeport Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353752",
            "country_code": "US",
            "telephone_number": "757-745-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1248 Perimeter Pkwy Ste 482",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234545914",
            "country_code": "US",
            "telephone_number": "757-496-5085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "733 Volvo Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233201609",
            "country_code": "US",
            "telephone_number": "757-389-5544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZLEBECK",
        "first_name": "MICHELLE",
        "middle_name": "LEILA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SLONEKER",
            "middle_name": "LEILA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana Lynn Hayner, COTA/L
• Mark Phillip Haynes, D.C.
• Johnathan Charles Hays, M.D.
• Michael Alan Hays, MD
• Paul Frederick Hazard, IDC
• Hannah Hazzard, LCSW
• Hcare LLC
• Lindsay Head
• Heads Up Therapy LLC
• Healing Hands Health Service LLC

• Physician Assistant in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.