Katelin Michele Haley, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C2-0013345 Issued in DE

Practice address

34435 King Street Row # 1
Lewes, DE 19958-4787

Phone

(302) 644-1300

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Family Practice

Education

Lake Erie College of Osteopathic Medicine, Erie, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Atlantic Adult and Pediatric Medicine PAGroup PAC ID 7911809173, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beebe Hospital Home Health Home health agency, Millsboro, DE, CCN 087023
• Amedisys Home Health Home health agency, Georgetown, DE, CCN 087034
• Christianacare Homehealth Home health agency, Camden, DE, CCN 087301
• Aveanna Home Healthcare Home health agency, Milford, DE, CCN 087039
• Beebe Medical Center Hospital, Lewes, DE, CCN 080007
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: khaley22718@beebehealth.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/21915/brand/1/csg/1/fhir/r4
• Direct secure messaging: katelin.haley.2@21915.direct.athenahealth.com

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.

• Atlantic Adult and Pediatric Medicine, PA

  • Family Medicine Physician
  • Lewes, DE
  • NPI 1801958863
  Medicare reassignment Care Compare group NPD
• Irene C. Viola, MD, PA

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1265515464
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Amedisys Delaware, L.L.C.

  • Home Health Agency
  • Georgetown, DE
  • NPI 1417021700
  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare affiliation
• Beebe Medical Center, Inc.

  • Home Health Agency
  • Millsboro, DE
  • NPI 1063513075
  Care Compare affiliation
• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation
• Christiana Care Home Health and Community Services, Inc.

  • Home Health Agency
  • Smyrna, DE
  • NPI 1841293438
  Care Compare affiliation
• Saints Home Healthcare, LLC

  • Home Health Agency
  • Milford, DE
  • NPI 1487706263
  Care Compare affiliation

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1912256512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34435 KING STREET ROW # 1",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-644-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34435 KING STREET ROW # 1",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-644-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Bloomingdale Ave",
            "address_purpose": "LOCATION",
            "city": "Federalsburg",
            "state": "MD",
            "postal_code": "216321012",
            "country_code": "US",
            "telephone_number": "410-754-9021",
            "fax_number": "410-754-5693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEY",
        "first_name": "KATELIN",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0079082",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT014873",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0013345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "417898ZAXB",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Hains, PMHNP
• Harikrishna Halaharvi, DO
• Joydeep Haldar, MD
• John Eric Hale, MD
• Tiffany Hale
• Nicole Hall, RN, MSN, MBA
• Patricia Hall
• Samantha Halla, R.N.
• Darra Olivia Hallowell, PA
• Claudia J Halstead, PAC

• Family Medicine Physician in Lewes, DE
• Providers in Lewes, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.