Stephen Lloyd Haile, APN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

APN0000006872 Issued in TN

Practice address

119 Boone Ridge Dr
Suite 201
Johnson City, TN 37615-4998

Phone

(423) 282-1480

Fax

(423) 928-1353

NPI assigned

Jul 26, 2006

Last updated

Mar 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441
  Medicare reassignment NPD
• Esd Psychological Services

  • Psychologist
  • Morristown, TN
  • NPI 1194148239
  NPD (past)
• Frontier Health

  dba Hancock County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sneedville, TN
  • NPI 1053475558
  NPD (past)
• Frontier Health

  dba Tennessee Community Support Services

  • Adult Mental Health Clinic/Center
  • Bristol, TN
  • NPI 1821154352
  NPD (past)
• Wayne E Tasker

  • Clinical Social Worker
  • Morristown, TN
  • NPI 1235273673
  NPD (past)
• Wayne E. Tasker and Associates, Inc.

  • Clinical Social Worker
  • Morristown, TN
  • NPI 1295974319
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1114941291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BOONE RIDGE DR",
            "address_2": "SUITE 201",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154998",
            "telephone_number": "423-282-1480",
            "fax_number": "423-928-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BOONE RIDGE DR",
            "address_2": "SUITE 201",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154998",
            "telephone_number": "423-282-1480",
            "fax_number": "423-928-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILE",
        "first_name": "STEPHEN",
        "middle_name": "LLOYD",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "APN0000006872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3906641",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katy Scarlett Hackett, PT
• Candice Nicole Hackler, BS
• Tariq Z Haddadin, M.D.
• Molly Ann Hagemeier, PHYSICAL THERAPIST
• Kelly Conyer Hagood, O.D.
• Craig M Haire, M.D.
• James B Haire, PA-C
• Hillary Ann Haley, MD
• Kylee Arden Haley, RD
• Tony O. Haley, MD

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.