NPI 1083590616 · live from the CMS NPI Registry
Haley R Childress, RN
Registered Nurse, Diabetes Educator in Phoenix, AZ. National Provider Identifier 1083590616, active.
NPI record
| NPI | 1083590616 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 1919 E Thomas Rd, Phoenix, AZ 85016 |
| Practice phone | 602-933-1000 |
| Mailing address | 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016 |
| Enumerated | August 11, 2025 |
| Last updated | October 21, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | RN191276 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.