NPIMap

Individual provider Active NPI

Heather L. Haley, D.O.

  • Nephrology Physician
  • Huntsville, AL
National Provider Identifier
1194947143
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DO943 Issued in AL
Practice address
810 Franklin St SE
Suite a
Huntsville, AL 35801-4310
Phone
(256) 533-7676
Fax
(256) 533-3171
NPI assigned
May 2, 2007
Last updated
May 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO943 AL
Nephrology Physician 207RN0300X DO943 AL Primary

Addresses

Primary practice location

810 Franklin St SE
Suite a
Huntsville, AL 35801-4310

Mailing address

810 Franklin St SE
Suite a
Huntsville, AL 35801-4310
Phone (256) 533-7676

Other identifiers 3

IdentifierTypeStateIssuer
009910540MedicaidAL
009910519MedicaidAL
E683OtherALMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070906000835 AL Practitioner - Nephrology 3274626254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
West Virginia School of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Huntsville Renal Clinic, PCGroup PAC ID 0749266237, 15 clinicians

Practice addresses (Care Compare)

810 Franklin St SE
Suite a
Huntsville, AL 35801-4310
Phone (256) 533-7676

810 Franklin St SE a
Huntsville, AL 35801-4310

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO943ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Renal Clinic, PC Nephrology CurrentSince Jul 19, 2010 Accepting new patients
BHC - Montclair Hospitalist Internal Medicine PastSince Aug 1, 2001 Accepting new patients
Creekside Family Practice Past Accepting new patients
Baptist Health System, Inc. Internal Medicine PastSince Apr 1, 1996 Accepting new patients
Alabama Nephrologists Inc Nephrology Past Accepting new patients

Locations

810 Franklin St SE
Huntsville, AL 35801
Phone (256) 533-7676

810 Franklin St SE
#A
Huntsville, AL 35801
Phone (256) 533-7676

Interoperability endpoints

  • Direct secure messaging: hhaley24247@direct.acumenmd.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1194947143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 FRANKLIN ST SE",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014310",
            "telephone_number": "256-533-7676",
            "fax_number": "256-533-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 FRANKLIN ST SE",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014310",
            "telephone_number": "256-533-7676",
            "fax_number": "256-533-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "HEATHER",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO943",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "DO943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009910540",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009910519",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "E683",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.