Individual provider Active NPI

Whitney Paige Haley, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1053713685
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
19202 Issued in TN
Practice address
4230 Harding Pike Ste 503
Nashville, TN 37205-2098
Phone
(159) 645-8646
NPI assigned
Sep 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 19202 TN Primary

Addresses

Primary practice location

4230 Harding Pike Ste 503
Nashville, TN 37205-2098

Mailing address

4230 Harding Pike Ste 503
Nashville, TN 37205-2098
Phone (615) 964-5864

Other identifiers 2

IdentifierTypeStateIssuer
Q008841MedicaidTN
7100423640MedicaidKY

Other names 1

  • Whitney Paige Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20141104001331 TN Practitioner - Nurse Practitioner 2769604925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

4230 Harding Pike
Suite 503
Nashville, TN 37205-2098
Phone (615) 297-2700

Hospital & facility affiliations

  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
  • West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Mar 1, 2019 Accepting new patients
Advanced Diagnostic Imaging, PC Nurse Practitioner CurrentSince Mar 1, 2019 Accepting new patients

Locations

647 Dunlop Ln
Ste 200
Clarksville, TN 37040
Phone (931) 245-8100

2121 N Locust Ave
Ste 6
Lawrenceburg, TN 38464

4230 Harding Pike
Ste 200
Nashville, TN 37205
Phone (615) 964-5864

4230 Harding Pike
Ste 503
Nashville, TN 37205
Phone (615) 964-5864

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

301 Tyson Ave
Ste 202
Paris, TN 38242
Phone (731) 644-8435

1255 E College St
Ste 300
Pulaski, TN 38478
Phone (615) 771-6899

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1053713685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 503",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052098",
            "telephone_number": "615-964-5864",
            "fax_number": "615-269-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 503",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052098",
            "telephone_number": "159-645-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "WHITNEY",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "19202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008841",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100423640",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "WILLIAMS",
            "middle_name": "PAIGE",
            "credential": "AGACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.