Provider Demographics
NPI:1982279279
Name:COX, HALEY DANIELLE (RD, LD)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:DANIELLE
Last Name:COX
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:DANIELLE
Other - Last Name:MATHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7413 SIX FORKS RD # 177
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6164
Mailing Address - Country:US
Mailing Address - Phone:919-283-1560
Mailing Address - Fax:
Practice Address - Street 1:906 SHELLBROOK CT APT 5
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4217
Practice Address - Country:US
Practice Address - Phone:919-283-1560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
OK2321133V00000X
NCL006095133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No171400000XOther Service ProvidersHealth & Wellness Coach