Andrea Ann Haylock

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

375780 Issued in NY

Practice address

3 Homer St
Staten Island, NY 10301-3101

Phone

(646) 251-9287

NPI assigned

Jul 13, 2026

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811816192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HOMER ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013101",
            "telephone_number": "646-251-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOMER ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013101",
            "telephone_number": "646-251-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYLOCK",
        "first_name": "ANDREA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "375780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Isaac Hawkins, M.D.
• Taurean Hawkins
• Andrew Hawks
• Krista Hawthorne-Bonanno, KRISTA BONANNO
• Cheryl Hayden
• Leslie J Haymes
• Saroj Arvind Hazari, MD
• Susan Jane Hazelrig, CCC/SLP
• Amanda Hazzard
• William B Head Jr., MD

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.