Active NPI
Keavie C. Hairfield, MSN, FNP-C
- Family Nurse Practitioner
- Eden, NC
National Provider Identifier
1023079043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0017138024
- Practice address
- 405 Thompson St
Eden, NC 27288-5045 - Phone
- (336) 627-4896
- Fax
- (336) 627-0139
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0017138024 | VA | Primary |
Addresses
Primary practice location
405 Thompson St
Eden, NC 27288-5045
Mailing address
405 Thompson St
Eden, NC 27288-5045
Phone (336) 627-4896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090821000365 | NC | Practitioner - Nurse Practitioner | 7012967771 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eden Internal Medicine PLLC
Practice addresses (Care Compare)
405 Thompson St
Eden, NC 27288-5045
Phone 3366274896318
Hospital & facility affiliations
- Unc Rockingham
- Sovah Health Danville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017138024 | VA | MD | Family Nurse Practitioner |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eden Internal Medicine PLLC | Current | Accepting new patients | |
| Danville Regional Medical Center, LLC | Past | Accepting new patients |
Locations
405 Thompson St
Eden, NC 27288
Phone (336) 627-4896
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- keaviehairfield@eimpllc.allscriptsdirect.net
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Martinsville, VA
- NPI 1225208705
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
Hospital
-
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228867200000",
"number": "1023079043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 THOMPSON ST",
"city": "EDEN",
"state": "NC",
"postal_code": "272885045",
"telephone_number": "336-627-4896",
"fax_number": "336-627-0139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 THOMPSON ST",
"city": "EDEN",
"state": "NC",
"postal_code": "272885045",
"telephone_number": "336-627-4896",
"fax_number": "336-627-0139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIRFIELD",
"first_name": "KEAVIE",
"middle_name": "C.",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2008-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0017138024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.