Individual provider Active NPI

Haley Webb, FNP

  • Family Medicine Physician
  • Erwin, TN
National Provider Identifier
1053980938
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29729 Issued in TN
Practice address
134 Oakwood LN
Erwin, TN 37650-8945
Phone
(423) 747-6788
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29729 TN Primary

Addresses

Primary practice location

134 Oakwood LN
Erwin, TN 37650-8945

Mailing address

134 Oakwood LN
Erwin, TN 37650-8945
Phone (423) 747-6788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210909000452 NC Practitioner - Nurse Practitioner 2365848876 Reassigns benefits to 1 organization
I20220923000117 TN Practitioner - Nurse Practitioner 2365848876 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physiatry Consultants of NC PLLC CurrentSince Aug 14, 2021 Accepting new patients
NP Health of TN PLLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1 Pond St
Arden, NC 28704
Phone 82877452220027

455 Victoria Rd
Asheville, NC 28801
Phone (828) 252-0099

345 Manor Rd
Mars Hill, NC 28754
Phone (828) 252-3646

55 Nursing Home Rd
Chuckey, TN 37641
Phone (423) 257-6761

100 Greenway Cir
Erwin, TN 37650
Phone (423) 743-1271

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

6500 Kirby Gate Blvd
Memphis, TN 38119
Phone (901) 230-2232

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.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1053980938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 OAKWOOD LN",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376508945",
            "telephone_number": "423-747-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 OAKWOOD LN",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376508945",
            "telephone_number": "423-747-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "HALEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "29729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

Verify at the official NPI Registry.