Kelli Haley

Primary specialty

SpecialistTaxonomy code 174400000X

License

1127727 Issued in NU

Practice address

125 Farmstead Rd
Dothan, AL 36301-6434

Phone

(205) 915-7783

NPI assigned

Jan 5, 2022

Last updated

Jan 5, 2022By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1750042420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FARMSTEAD RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363016434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FARMSTEAD RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363016434",
            "telephone_number": "205-915-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": "1127727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelli@soulskillstherapeutics.com",
            "affiliation": "Y",
            "endpointDescription": "work secure email",
            "affiliationName": "Soul Skills, LLC",
            "address_1": "125 Farmstead Rd",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363016434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Traci Giles Hackett, M.D.
• Lance Hagler, PHARMD
• Robert M Hagler, MD
• Hairoglyphics Hair and Beauty Salon
• John H. Haley Jr., M.D.
• Timothy M. Haley, M.D.
• Alison W Hall, CRNP
• Amanda Nicole Hall, CRNA
• Angela Hall, CRNP
• Cade Hall

• Specialist in Dothan, AL
• Providers in Dothan, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.