Provider Type Icon

HAYDEE ADAN NPI 1518164797


NPI Information

NPI: 1518164797
Provider Name: HAYDEE ADAN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
4330 MEDICAL DR
STE 500
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 576-5306
Get Directions

Haydee Adan is a gerontology nurse practitioner in San Antonio, TX with 17 years of experience. Haydee Adan NPI is 1518164797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:2007

The provider's business location address is:

4330 MEDICAL DR
STE 500
SAN ANTONIO, TX
ZIP 78229-342
Phone: (210) 576-5306
Fax: (210) 694-0645

The NPI 1518164797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 7/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily613591TEXASNo
2363LG0600XNurse PractitionerGerontologyAP115945TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1314681YMVUOTHERWELLMED NETWORKS INC
2TXB154515OTHERWELLMED MEDICAL GROUP PA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.