IESHA HAUGHTON
NPI 1134089865
Nurse Practitioner - Family in Glen Burnie, MD

Q: What is Iesha Haughton's NPI number?

The NPI number for Iesha Haughton is 1134089865. It was assigned to this individual provider in the NPPES registry on November 14, 2025.

Q: What is Iesha Haughton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Iesha Haughton was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 14, 2025PECOS Enrolled

7095 BALTIMORE ANNAPOLIS BLVD, GLEN BURNIE, MD 21061(410) 859-3113(410) 859-1006 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Apr 29, 2026, Nov 14, 2025 (3 updates tracked since 2025).

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About Iesha Haughton NPPES

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

IESHA HAUGHTON (NPI 1134089865) is an individual family provider in Glen Burnie, Maryland, licensed in Maryland (R239391) and active in the NPI registry since November 2025. The provider is enrolled in Medicare PECOS and maintains a secondary practice location in Greenbelt.

NPPES Registry Identity

NPI1134089865

Entity TypeIndividual

Primary Taxonomy363LF0000X

Provider Legal NameIESHA HAUGHTON

Location Address7095 BALTIMORE ANNAPOLIS BLVDGlen Burnie, MD 21061-1431

Mailing Address7095 Baltimore Annapolis BlvdGlen Burnie, MD 21061-1431 · (410) 859-3113 · Fax (410) 859-1006

Phone(410) 859-3113

Fax(410) 859-1006

Sole ProprietorNo

Enumeration DateNovember 14, 2025

Last NPPES UpdateMay 6, 20263 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1134089865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MD · R239391

7095 BALTIMORE ANNAPOLIS BLVD, Glen Burnie, MD 21061

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Secondary Practice Location 1

Location 18957 Edmonston Rd Ste PGreenbelt, MD 20770-4048 · Phone (410) 696-1989 · Fax (301) 345-1540

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iesha Haughton 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21061 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

DR. LILYTTE TAGALA PHARM.D

Pharmacist