Haley Nisson, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

0139000346 Issued in VA

Practice address

2005 Ebers St
San Diego, CA 92107-2227

Phone

(202) 476-2061

Fax

(202) 476-2187

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

No

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1972107910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102916",
            "telephone_number": "202-476-2061",
            "fax_number": "202-476-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 EBERS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072227",
            "telephone_number": "202-476-2061",
            "fax_number": "202-476-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSON",
        "first_name": "HALEY",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "VA",
            "license": "0139000346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Asher Nissan, MD
• Merna Nissan
• Kimberly S. Nissen, R.N.
• Sheryl Nissen, SLP
• Vicki I Nissen, LCSW
• Kenneth S. Nitahara, MD
• Ariela Nitevich
• Heather Marie Nitschke, PT,DPT
• David Kakichi Kauahao Nitta, MD
• Mellie Laurine Nitunga

• Genetic Counselor (M.S.) in San Diego, CA
• Providers in San Diego, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.