Mary Jo Hale, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN. 112648 Issued in OH

Practice address

1360 Michael CT
Apt. B
Troy, OH 45373-4807

Phone

(937) 339-5126

NPI assigned

Nov 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861571275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 MICHAEL CT",
            "address_2": "APT. B",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453734807",
            "telephone_number": "937-339-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MICHAEL CT",
            "address_2": "APT. B",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453734807",
            "telephone_number": "937-339-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.  112648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Haack
• Sandra Haack
• Tara Mae Hagan, M.S., LPCC-S
• Anna Jane Haines
• Allyson K Halderman, DO
• Nancy Louise Hall, NP
• Yusef A Hammuda, PA
• Michael Eugene Harbaugh, PCC
• Harborside Troy, LLC (Troy Care and Rehabilitation Center)
• Delaney Grace Hardert, DPT

• Licensed Practical Nurse in Troy, OH
• Providers in Troy, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.