Individual provider Active NPI

Hailey Barker De Leon, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1770958027
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13835 Issued in TX
Practice address
2915 W Bitters Rd Ste 201
San Antonio, TX 78248-2007
Phone
(210) 598-2800
NPI assigned
Dec 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13835 TX Primary

Addresses

Primary practice location

2915 W Bitters Rd Ste 201
San Antonio, TX 78248-2007

Mailing address

2915 W Bitters Rd Ste 201
San Antonio, TX 78248-2007
Phone (210) 598-2800

Other names 1

  • Hailey Barker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA13835TXMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: hbarkerdeleon106573@direct.nemours.org

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1770958027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 W BITTERS RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482007",
            "telephone_number": "210-598-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 W BITTERS RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482007",
            "telephone_number": "210-598-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "HAILEY",
        "middle_name": "BARKER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILEY",
            "last_name": "BARKER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.