PAIGE A LEAVITT-HALSALL NPI 1740295617

NPI Information

NPI: 1740295617
Provider Name: PAIGE A LEAVITT-HALSALL
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
104 CHARLES ELDRIDGE DRIVE
TRANQUIL MIND & WELLNESS INC
LAKEVILLE, MA
ZIP 02347
Phone: (508) 947-1683
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Paige A Leavitt-halsall is a psychiatric/mental health registered nurse in Lakeville, MA with 25 years of experience. Paige A Leavitt-halsall NPI is 1740295617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

104 CHARLES ELDRIDGE DRIVE
TRANQUIL MIND & WELLNESS INC
LAKEVILLE, MA
ZIP 02347
Phone: (508) 947-1683
Fax: (508) 947-1684

The NPI 1740295617 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 7/29/2006 and was last updated on 2/17/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364S00000X	Clinical Nurse Specialist		APRN175441	MASSACHUSETTS	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	APRN175441	MASSACHUSETTS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	271408	OTHER	RHODE ISLAND	BLUE CROSS
2	2173937	OTHER		CIGNA
3	PN0805	OTHER	MASSACHUSETTS	BLUE CROSS
4	33106235303	OTHER		PACIFICARE
5	6NS0687	MEDICARE ID-TYPE UNSPECIFIED
6	1895028	OTHER		MBHP
7	469386	OTHER		TUFTS

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

NPI Synchronization or Removal

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