Haili Harless, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN11008425 Issued in FL

Practice address

3961 23Rd Ave N
Saint Petersburg, FL 33713-4850

Phone

(865) 230-0519

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Wound Care, LLCGroup PAC ID 7214394972, 21 clinicians

Dynamic Health Care Services,LLCGroup PAC ID 0749448611, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFDHBA/Endpoint/JFDHBA

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.

• Advanced Wound Care, LLC

  • Wound Care Registered Nurse
  • Tampa, FL
  • NPI 1356036354
  Medicare reassignment Care Compare group NPD
• Dynamic Health Care Services,LLC

  • Multi-Specialty Clinic/Center
  • Dunedin, FL
  • NPI 1861769671
  Medicare reassignment Care Compare group NPD
• Regional Healthcare Group LLC

  • Acute Care Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1407587363

  FL

  Medicare reassignment NPD
• Guardian Biologics LLC

  • Specialist
  • Mount Juliet, TN
  • NPI 1033890876
  NPD

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1154928612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986615",
            "telephone_number": "727-953-3587",
            "fax_number": "727-724-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 23RD AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337134850",
            "telephone_number": "865-230-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLESS",
        "first_name": "HAILI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11008425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "haili.harless@spartans.ut.edu",
            "affiliation": "N",
            "address_1": "3961 23rd Ave N",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337134850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "haili.harless@spartans.ut.edu",
            "affiliation": "N",
            "address_1": "3961 23rd Ave N",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337134850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer L Hargett, M.S.
• Donna Hargrove, DO
• Vishnu Harikumar, MD
• Harish J. Patel, MD
• Asia Harkins, LCSW
• Michael Harlow
• Morgan Orobello Harlow
• Richard Paul Harmel Jr., M.D.
• Bethany J Harmon, ARNP
• Clacci Capri Harmon

• Adult Health Nurse Practitioner in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.