HOLLY NICOLE HALEY DO
NPI 1639872922
Student in an Organized Health Care Education/Training Program in Dallas, TX

Q: What is Holly Haley's NPI number?

The NPI number for Holly Haley is 1639872922. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Q: What is Holly Haley'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 Holly Haley was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 24, 2023PECOS Enrolled

1441 N BECKLEY AVE, DALLAS, TX 75203(214) 244-7858 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Holly Nicole Haley Do NPPES

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

HOLLY NICOLE HALEY DO (NPI 1639872922) is an individual student in an organized health care education/training program in Dallas, Texas, licensed in Texas (W2294) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639872922

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameHOLLY NICOLE HALEYCredential: DO

Location Address1441 N BECKLEY AVEDallas, TX 75203-1201

Mailing Address1629 Rio Vista DrDallas, TX 75208-2339

Phone(214) 244-7858

Sole ProprietorNo

Enumeration DateMarch 24, 2023

Last NPPES UpdateJune 24, 2026

NPPES CertifiedJune 24, 2026

✔ NPI 1639872922 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

License✔ Licensed in TX · W2294

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 BECKLEY AVE, Dallas, TX 75203

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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)

Holly Nicole Haley 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.

WILLIAM COOK LANGMADE MD

Internal Medicine