Individual provider Active NPI

Julie Marcus Haffey, APRN

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1790390144
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11030301 Issued in FL
Practice address
4075 S State Road 7 Ste H1
Lake Worth, FL 33449-8152
Phone
(561) 967-5761
Fax
(561) 967-5762
NPI assigned
Sep 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11030301 FL
Family Nurse Practitioner 363LF0000X R234736 MD
Family Nurse Practitioner 363LF0000X RN1034497 DC
Family Nurse Practitioner 363LF0000X APRN11030301 FL Primary

Addresses

Primary practice location

4075 S State Road 7 Ste H1
Lake Worth, FL 33449-8152

Mailing address

900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (561) 967-5761

Other identifiers 1

IdentifierTypeStateIssuer
122115200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20201116001605 DC Practitioner - Nurse Practitioner 0042621468 Reassigns benefits to 1 organization
I20201202001117 MD Practitioner - Nurse Practitioner 0042621468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11030301FLMDNurse Practitioner
RN1034497DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MGMC, LLC CurrentSince Oct 1, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2020 Accepting new patients
Saltzman, Tanis, Pittel, Levin and Jacobson Past Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson PastSince May 7, 2024 Accepting new patients
Saltzman, Tanis, Pittel, Levin and Jacobson Past Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson, LLC PastSince May 7, 2024 Accepting new patients

Locations

4200 Wisconsin Ave NW
Ste 4
Washington, DC 20016
Phone (202) 243-3400

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1790390144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "561-967-5761",
            "fax_number": "561-967-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 S STATE ROAD 7 STE H1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334498152",
            "telephone_number": "561-967-5761",
            "fax_number": "561-967-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFEY",
        "first_name": "JULIE",
        "middle_name": "MARCUS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-12",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11030301",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R234736",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1034497",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122115200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.