Emily Louise Haley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2301413 Issued in MA

Practice address

20 Lagrange St # 1
West Roxbury, MA 02132-3028

Phone

(781) 249-9711

NPI assigned

Jul 16, 2020

Last updated

Jul 16, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Nurse Practitioner

Education

University of Massachusetts Medical School, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pratt Medical Group IncGroup PAC ID 3375515661, 282 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pratt Medical Group, Inc

  dba Pratt Medical Group, Inc-General Medical Associates

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1275570319
  Medicare reassignment Care Compare group NPD
• Pratt Medical Group, Inc

  dba Pratt Medical Group, Inc - Pulmonary Disease

  • Pulmonary Disease Physician
  • Boston, MA
  • NPI 1508187642
  NPD

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1720696636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LAGRANGE ST # 1",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323028",
            "telephone_number": "781-249-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LAGRANGE ST # 1",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323028",
            "telephone_number": "781-249-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "EMILY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2301413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanchi Guo, OD
• Gustavo Perdomo DMD PC (Reliant Dental Group)
• Carlos Guzman
• Emily Hagen, PT, DPT
• Ildiko Halasz, M.D.
• Pauline Chen Halsey, M.D.
• Zhaleh Jolle Hami, D.M.D.
• Adele Hamilton
• Mohamed Hamouda, MD
• Michael G Hamrock, MD

• Family Nurse Practitioner in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.