SUSANNA LONG HALEY (NPI# 1124668231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124668231 |
Entity Type | Individual |
Full Name | SUSANNA LONG HALEY |
Credential | PA |
Practice Address |
2301 Robeson St Fayetteville NC 28305-5640 |
Mailing Address |
905 Emeline Ave Fayetteville NC 28303-5421 |
Practice Telephone | 9104844100 |
Mailing Telephone | 9103089843 |
Enumeration Date | 2020-01-07 |
Last Update Date | 2020-01-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-09668 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2301 ROBESON ST |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28305-5640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922009935 | Sanjay Prasher | Internal Medicine | 2301 Robeson St, Suite 301, Fayetteville, NC 28305-5640 | 2005-08-02 |
1467000422 | Amruta Bahekar | Dentist | 2301 Robeson St, Fayetteville, NC 28305-5640 | 2019-09-03 |
1851747919 | Kary Jean Neal | Nurse Practitioner | 2301 Robeson St, Fayetteville, NC 28305-5640 | 2016-05-09 |
1497110753 | Cameron & Roman Pllc | Dentist | 2301 Robeson St, Suite 302, Fayetteville, NC 28305-5640 | 2015-12-30 |
1639534118 | Deidra Debnam | Physical Therapist | 2301 Robeson St, Suite 204, Fayetteville, NC 28305-5640 | 2015-12-28 |
1205209418 | Lara Chase | Physical Therapist | 2301 Robeson St, Fayetteville, NC 28305-5640 | 2015-11-10 |
1639545874 | Jarod Hill | Physical Therapist | 2301 Robeson St, Fayetteville, NC 28305-5640 | 2015-08-11 |
1023494176 | Kasey Marie Phillips | Physical Therapist | 2301 Robeson St, 204, Fayetteville, NC 28305-5640 | 2015-07-30 |
1801294145 | Fayetteville Vamc | Clinic/Center | 2301 Robeson St, Fayetteville, NC 28305-5640 | 2014-12-19 |
1255739132 | Rebecca Mahon | Physical Therapist | 2301 Robeson St, Suite 204, Fayetteville, NC 28305-5640 | 2014-12-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
Find all providers in zip 28305 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
1578050480 | Marlee Anne Fallon | Physician Assistant | 4402 Medical Center Dr Ste 402, Fayetteville, NY 13066-6626 | 2018-04-16 |
1285149781 | Rebecca Anderson | Physician Assistant | 413 Owen Dr Ste 201, Fayetteville, NC 28304-3490 | 2017-12-06 |
1750807186 | Julia Niemi | Physician Assistant | 2409 Murchison Rd # B, Fayetteville, NC 28301-3519 | 2017-08-17 |
1548709991 | Pallavi Annamaneni | Physician Assistant | 2149 Valleygate Dr Ste 102, Fayetteville, NC 28304-3666 | 2017-02-17 |
1124457650 | Amanda Warden | Physician Assistant | 89 Cowley Hollow Rd, Fayetteville, TN 37334-6947 | 2013-11-05 |
1639473739 | Andrea Bethauser | Physician Assistant | 918 Hope Mills Rd, Fayetteville, NC 28304-4243 | 2011-01-04 |
1891928941 | Gladys Maria Rivero | Physician Assistant | 3450 Sandystone Cir, Fayetteville, NC 28311-2503 | 2009-08-24 |
1366524092 | Lisa Aldrin Rojeski | Physician Assistant | 4038 N Remington Dr, Suite 4, Fayetteville, AR 72703-6345 | 2006-10-20 |
1902829039 | Michael John Winn | Physician Assistant | 5511 Raeford Road, Suite 150, Fayetteville, NC 28304-2058 | 2006-07-26 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28305 |
Please comment or provide details below to improve the information on SUSANNA LONG HALEY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.