Individual provider Active NPI

Haley Erwin, FNP

  • Family Nurse Practitioner
  • Tallulah, LA
National Provider Identifier
1043050263
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201938 Issued in LA
Practice address
900 Johnson St
Tallulah, LA 71282-4537
Phone
(318) 574-2374
NPI assigned
May 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201938 LA Primary

Addresses

Primary practice location

900 Johnson St
Tallulah, LA 71282-4537

Mailing address

1082 W Bear Lake Rd
Tallulah, LA 71282-7063
Phone (318) 341-3270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240904002801 LA Practitioner - Nurse Practitioner 2264972306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Parish Hospital Service District CurrentSince Jul 1, 2024 Accepting new patients
Madison Parish Hospital Service District CurrentSince Jul 1, 2024 Accepting new patients

Locations

900 Johnson St
#A
Tallulah, LA 71282
Phone (318) 574-3575

808 Johnson St
Tallulah, LA 71282
Phone (318) 574-5080

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Parish Hospital Service District 9 clinicians

Practice addresses (Care Compare)

900 Johnson St
Tallulah, LA 71282-4537
Phone 31857423743111

Hospital & facility affiliations

  • Primestar Home Health Inc Home health agency, Rayville, LA, CCN 197426
  • Madison Parish Hospital Hospital, Tallulah, LA, CCN 191314

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1043050263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 W BEAR LAKE RD",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712827063",
            "telephone_number": "318-341-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824537",
            "telephone_number": "318-574-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERWIN",
        "first_name": "HALEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "201938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

Verify at the official NPI Registry.