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HALEY ICEN DO
NPI 1083415970
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 24, 2025PECOS Enrolled
2724 N TENAYA WAY, LAS VEGAS, NV 89128(702) 992-6888(702) 992-6880 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Haley Icen Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALEY ICEN DO (NPI 1083415970) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083415970
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHALEY ICENCredential: DO
Location Address2724 N TENAYA WAYLas Vegas, NV 89128-0424
Mailing Address2724 N Tenaya WayLas Vegas, NV 89128-0424 · (702) 992-6888
Phone(702) 992-6888
Fax(702) 992-6880
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1083415970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2724 N TENAYA WAY, Las Vegas, NV 89128
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Other Names 1

Other Name (5)Haley Icen Do

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haley Icen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY ADEL AFIF DO
Student in an Organized Health Care Education/Training Program
2724 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 992-6888
DR. DANIELA WINKELMAN MD
Student in an Organized Health Care Education/Training Program
2724 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 992-6888
CHRISTINE A PETERSON MD
Internal Medicine
2724 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 242-7722
MRS. LAURA K SHAW M.D.
Family Medicine
2724 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 992-6888
JARED ANDREW DIAZ
Student in an Organized Health Care Education/Training Program
2724 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 992-6888
RACHEL GUEST MD
Plastic Surgery (Surgery of the Hand)
2724 N TENAYA WAY, PLASTIC SURGERY
LAS VEGAS, NV 89128
Clark County (702) 671-5110
DR. NABEEL ZAFAR QURESHI DO
Student in an Organized Health Care Education/Training Program
2724 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 992-6875

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haley Icen's NPI number?

The NPI number for Haley Icen is 1083415970. It was assigned to this individual provider in the NPPES registry on March 24, 2025. The provider is also known as Haley Icen Do.

Where is Haley Icen located?

Haley Icen practices at 2724 N Tenaya Way, Las Vegas, NV 89128. The listed phone number is (702) 992-6888.

What is Haley Icen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Haley Icen enrolled in Medicare?

Yes. Haley Icen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Haley Icen was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.