HAILEY TYANN HOUSE DO
NPI 1215785100
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Hailey House's NPI number?

The NPI number for Hailey House is 1215785100. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Q: What is Hailey House's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hailey House was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 May 07, 2024PECOS Enrolled

1441 N 12TH ST, PHOENIX, AZ 85006(602) 521-5700(602) 521-5701 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Hailey Tyann House Do NPPES

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

HAILEY TYANN HOUSE DO (NPI 1215785100) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215785100

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameHAILEY TYANN HOUSECredential: DO

Location Address1441 N 12TH STPhoenix, AZ 85006-2837

Mailing Address1111 E Mcdowell RdPhoenix, AZ 85006-2612 · (602) 839-3827 · Fax (602) 839-2359

Phone(602) 521-5700

Fax(602) 521-5701

Sole ProprietorYes

Enumeration DateMay 7, 2024

NPPES CertifiedMay 7, 2024

✔ NPI 1215785100 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.

1441 N 12TH ST, Phoenix, AZ 85006

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hailey Tyann House 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 20

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

LINDSEY RENTERIA NP

Nurse Practitioner