Individual provider Active NPI

Hayden Nichole Hall

  • Behavior Analyst
  • Dothan, AL
National Provider Identifier
1821745142
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2543 Ross Clark Cir Ste 5
Dothan, AL 36301-4916
Phone
(334) 796-1667
NPI assigned
Mar 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X AL Primary

Addresses

Primary practice location

2543 Ross Clark Cir Ste 5
Dothan, AL 36301-4916

Mailing address

2543 Ross Clark Cir Ste 5
Dothan, AL 36301-4916
Phone (334) 699-4007

Other identifiers 1

IdentifierTypeStateIssuer
542177126MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL progressinfo16@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1821745142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 ROSS CLARK CIR STE 5",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014916",
            "telephone_number": "334-699-4007",
            "fax_number": "334-699-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 ROSS CLARK CIR STE 5",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014916",
            "telephone_number": "334-796-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "HAYDEN",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "542177126",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "progressinfo16@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Clinic Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinic Email",
            "address_1": "2543 Ross Clark Cir Ste 5",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363014916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.