Individual provider Active NPI

Haley Phillips Hunt, MD

  • Dermatology Physician
  • Hammond, LA
National Provider Identifier
1881190486
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
330773 Issued in LA
Practice address
42421 Pelican Professional Park
Hammond, LA 70403-2405
Phone
(985) 400-5551
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 330773 LA Primary

Addresses

Primary practice location

42421 Pelican Professional Park
Hammond, LA 70403-2405

Mailing address

42421 Pelican Professional Park
Hammond, LA 70403-2405
Phone (985) 400-5551

Other practice location 1

2003 Tulane Avenue
New Orleans, LA 70112
Phone (504) 962-6110

Other identifiers 1

IdentifierTypeStateIssuer
2467026MedicaidLA

Other names 1

  • Haley Susanne Phillips Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hhunt@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220906002926 LA Practitioner - Dermatology 2961759378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas Tech University Health Science Center School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soine Medical Enterprises, LLCGroup PAC ID 0840434205, 10 clinicians

Practice addresses (Care Compare)

1441 Ochsner Blvd
Covington, LA 70433-8110
Phone (985) 400-5551

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of skin lesions568
Removal or shaving of skin growth1-10
Skin biopsy150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Soine Medical Enterprises, LLC Dermatology CurrentSince Aug 1, 2022 Accepting new patients

Locations

1441 Ochsner Blvd
Covington, LA 70433
Phone (985) 363-8254

42421 Pelican Professional Park
Hammond, LA 70403
Phone (985) 400-5551

2003 Tulane Ave
New Orleans, LA 70112
Phone (504) 962-6110

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1881190486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42421 PELICAN PROFESSIONAL PARK",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032405",
            "telephone_number": "985-400-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42421 PELICAN PROFESSIONAL PARK",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032405",
            "telephone_number": "985-400-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Tulane Avenue",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70112",
            "country_code": "US",
            "telephone_number": "504-962-6110",
            "fax_number": "504-962-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "HALEY",
        "middle_name": "PHILLIPS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "330773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2467026",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhunt@directaddress.net",
            "affiliation": "N",
            "address_1": "42421 Pelican Professional Park",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704032405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "PHILLIPS",
            "middle_name": "SUSANNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.