Elizabeth Ann Hales, N.P., PH.D.

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

F400969-1 Issued in NY

Practice address

908 N Cayuga St
Ithaca, NY 14850-3614

Phone

(607) 273-9870

NPI assigned

Dec 11, 2006

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1780744086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503614",
            "telephone_number": "607-273-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALES",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "N.P., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400969-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eve Mercer Hadley, M.S. CCC-SLP
• Amy E Haefner, PT
• Karen F Haesloop, FNP
• Samantha K Haggard, OTD, OTR/L
• James Leonard Haines-Burnham, LCSW-R
• Alexandra Hall, M.D.
• Kari Beth Hall, M.S., CCC-SLP
• Suki Montgomery Hall, PH.D.
• Susan Hall, RPH
• Catherine Jane Halliday, LCSW

• Psychiatric/Mental Health Registered Nurse in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.