Shaconna Haley, PRENATAL BIRTH DOULA

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

1101 N Crossing Way
Decatur, GA 30033-4159

Phone

(571) 435-0994

NPI assigned

Aug 1, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1891219754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N CROSSING WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N CROSSING WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334159",
            "telephone_number": "571-435-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "SHACONNA",
        "credential": "PRENATAL BIRTH DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOULA",
            "identifier": "374J00000X",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Charlene Hairston, PHARM D
• Caroline Hairston, NP
• Robert H Hairston, LCSW, DCSW, MAC, SAP
• Rana Ahmad Hajjeh, M.D.
• Miranda Danielle Haley
• Todd P. Haley, PHARMD
• Alexander Halkos, MD
• Renee Ann Hall-George, LMSW
• Elaine Hall-Walton, L.P.N.
• Ajene Hall

• Doula in Decatur, GA
• Providers in Decatur, GA by specialty
• Doula in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.