Individual provider Active NPI

Emily Catherine Hale, NP-BC

  • Family Nurse Practitioner
  • Lillington, NC
National Provider Identifier
1083247308
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012300 Issued in CA
Practice address
350 Pine State St
Lillington, NC 27546-9428
Phone
(910) 893-9700
Fax
(910) 893-9747
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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 95012300 CA Primary

Addresses

Primary practice location

350 Pine State St
Lillington, NC 27546-9428

Mailing address

350 Pine State St
Lillington, NC 27546-9428
Phone (910) 893-9747

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily.hale@myemail.indwes.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 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
I20210319002224 CA Practitioner - Nurse Practitioner 7315354222 Reassigns benefits to 5 organizations
I20240821003818 NC Practitioner - Nurse Practitioner 7315354222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology and Pain Management, PLLCGroup PAC ID 6305895905, 15 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, 496 clinicians

Practice addresses (Care Compare)

3400 Walsh Pkwy
Suite 100
Fayetteville, NC 28311-1642
Phone (910) 491-2744

721 Tilghman Dr
Dunn, NC 28334-6066
Phone (910) 892-5635

Hospital & facility affiliations

  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95012300CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology & Pain Management, PLLC CurrentSince Jun 16, 2024 Accepting new patients
John Qian M.D. Inc. CurrentSince Dec 1, 2022 Accepting new patients
Zachary C Cohen MD Apc CurrentSince Dec 1, 2023 Accepting new patients
Optimum Wound Care Inc CurrentSince Aug 1, 2022 Accepting new patients
Zachary C Cohen MD Apc CurrentSince Dec 1, 2023 Accepting new patients
John Qian M.D. Inc. CurrentSince Dec 1, 2022 Accepting new patients
Gessner Peterson House Calls Inc Family PastSince Feb 1, 2020 Accepting new patients
Atlantic Radiology Associates PA PastSince Jun 16, 2024 Accepting new patients
Mary Gessner-Peterson Medical Group, Inc PastSince Feb 1, 2020 Accepting new patients

Locations

5360 Jackson Dr
Ste 100
La Mesa, CA 91942
Phone (619) 462-5900

5395 Ruffin Rd
Ste 204
San Diego, CA 92123

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

22151 Ventura Blvd
Ste 101
Woodland Hls, CA 91364
Phone (877) 343-6885

180 Magnolia Square Ct
Aberdeen, NC 28315
Phone (910) 491-2744

3400 Walsh Pkwy
#100
Fayetteville, NC 28311

3400 Walsh Pkwy
Ste 100
Fayetteville, NC 28311
Phone (910) 491-2744

350 Pine State St
Lillington, NC 27546
Phone (910) 893-9700

6402 McCrimmon Pkwy
Ste 300
Morrisville, NC 27560
Phone (910) 584-5003

1212 Central Dr
Ste 101
Sanford, NC 27330

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12903/brand/1/csg/1/fhir/r4

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1083247308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PINE STATE ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469428",
            "telephone_number": "910-893-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINE STATE ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469428",
            "telephone_number": "910-893-9700",
            "fax_number": "910-893-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "EMILY",
        "middle_name": "CATHERINE",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.hale@myemail.indwes.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1730 Alpine Blvd Ste 205",
            "city": "Alpine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919013878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

Verify at the official NPI Registry.