Individual provider Active NPI

Leticia Garcia Haff, PA-C

  • Medical Physician Assistant
  • Lebanon, TN
National Provider Identifier
1174045959
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5128 Issued in TN
Practice address
1418 W Main St
Lebanon, TN 37087-3380
Phone
(615) 425-4200
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5128 TN
Physician Assistant 363A00000X 5601008219 MI
Medical Physician Assistant 363AM0700X 5128 TN Primary

Addresses

Primary practice location

1418 W Main St
Lebanon, TN 37087-3380

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

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
I20230824003002 TN Practitioner - Physician Assistant 6406121227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians

Practice addresses (Care Compare)

123 Northcreek Rd
Goodlettsville, TN 37072-1998
Phone (615) 851-5860

1418 W Main St
Lebanon, TN 37087-3380
Phone (615) 453-7720

463 Sam Ridley Pkwy W
Smyrna, TN 37167-5626
Phone (615) 768-4258

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: leticia.haff@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 1

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1174045959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873380",
            "telephone_number": "615-425-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFF",
        "first_name": "LETICIA",
        "middle_name": "GARCIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5128",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008219",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "5128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.