Individual provider Active NPI

Haley Patrick Hill

  • Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1003276312
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-35504 Issued in AL
Practice address
100 Rice Mine Road
Suite B
Tuscaloosa, AL 35406
Phone
(205) 349-4200
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-35504 AL Primary

Addresses

Primary practice location

100 Rice Mine Road
Suite B
Tuscaloosa, AL 35406

Mailing address

11949 Glen Ridge Blvd
Moundville, AL 35474-6356
Phone (205) 799-7979

Other identifiers 1

IdentifierTypeStateIssuer
5381OtherALCRNP RX NUMBER

Other names 1

  • Haley Patrick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181127001727 AL Practitioner - Nurse Practitioner 0244574549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Pain and Spine Care LLCGroup PAC ID 9234423138, 15 clinicians

Practice addresses (Care Compare)

2010 Patton Chapel Rd
Suite 200
Hoover, AL 35216-5784
Phone (205) 208-9001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-35504ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Tuscaloosa, P.C. CurrentSince Mar 27, 2022 Accepting new patients
Cahaba Pain and Spine Care, LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

2010 Patton Chapel Rd
Ste 200
Hoover, AL 35216
Phone (205) 208-9001

100 Rice Mine Rd N
Ste 100
Tuscaloosa, AL 35406
Phone (205) 349-4200

Interoperability endpoints

  • Direct secure messaging: haley.hill.1@13928.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1003276312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11949 GLEN RIDGE BLVD",
            "city": "MOUNDVILLE",
            "state": "AL",
            "postal_code": "354746356",
            "telephone_number": "205-799-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE ROAD",
            "address_2": "SUITE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35406",
            "telephone_number": "205-349-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "HALEY",
        "middle_name": "PATRICK",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-35504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP RX NUMBER",
            "identifier": "5381",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "PATRICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.