Individual provider Active NPI

Hazel Dillehay, RN

  • Durable Medical Equipment & Medical Supplies
  • Hot Springs, AR
National Provider Identifier
1851693725
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
R53953 Issued in AR
Practice address
1910 Albert Pike Rd
Suite H
Hot Springs, AR 71913-4011
Phone
(501) 624-6557
Fax
(501) 624-1481
NPI assigned
Nov 29, 2010
Last updated
Nov 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X R53953 AR Primary

Addresses

Primary practice location

1910 Albert Pike Rd
Suite H
Hot Springs, AR 71913-4011

Mailing address

1910 Albert Pike Rd
Suite H
Hot Springs, AR 71913-4011
Phone (501) 624-6557

Other identifiers 1

IdentifierTypeStateIssuer
118760716MedicaidAR

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R53953ARMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
McClellan Enterprises Inc. Durable Medical Equipment & Medical Supplies Past Accepting new patients

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, 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": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1851693725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ALBERT PIKE RD",
            "address_2": "SUITE H",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134011",
            "telephone_number": "501-624-6557",
            "fax_number": "501-624-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ALBERT PIKE RD",
            "address_2": "SUITE H",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134011",
            "telephone_number": "501-624-6557",
            "fax_number": "501-624-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLEHAY",
        "first_name": "HAZEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "R53953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118760716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.