Active NPI
Haley Derouen
- Nurse Practitioner
- Bay St Louis, MS
National Provider Identifier
1891652244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 908105
- Practice address
- 524 Main St
Bay St Louis, MS 39520-2730 - Phone
- (228) 300-2343
- NPI assigned
- Jan 7, 2026
- Last updated
- Jan 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 908105 | MS | Primary |
Addresses
Primary practice location
524 Main St
Bay St Louis, MS 39520-2730
Mailing address
7216 Akikai Dr
Diamondhead, MS 39525-3907
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 908105 | MS | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1891652244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7216 AKIKAI DR",
"city": "DIAMONDHEAD",
"state": "MS",
"postal_code": "395253907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 MAIN ST",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395202730",
"telephone_number": "228-300-2343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROUEN",
"first_name": "HALEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-07",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "908105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay St Louis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.