Active NPI
Haley Anne Puryear, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Olympia, WA
National Provider Identifier
1841967775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 9333 Martin Way E, Suite 214
Olympia, WA 98516-5969 - Phone
- (360) 539-8487
- Fax
- (360) 358-9944
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
9333 Martin Way E, Suite 214
Olympia, WA 98516-5969
Mailing address
PO Box 760
Fox Island, WA 98333-0760
Phone (360) 539-8487
Other names 1
- Ms. Haley Anne Gray
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NW Monitoring, LLC | Electroneurodiagnostic | Current | Accepting new patients |
Locations
9333 Martin Way E
Ste 214
Olympia, WA 98516
Phone (360) 539-8487
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1841967775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 760",
"city": "FOX ISLAND",
"state": "WA",
"postal_code": "983330760",
"telephone_number": "360-539-8487",
"fax_number": "360-358-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9333 MARTIN WAY E, SUITE 214",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985165969",
"telephone_number": "360-539-8487",
"fax_number": "360-358-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURYEAR",
"first_name": "HALEY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "CNIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-27",
"last_updated": "2023-10-30",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HALEY",
"last_name": "GRAY",
"middle_name": "ANNE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.