Haley Jordan Hazen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-166955 Issued in AL

Practice address

220 Cedar St NW
Hartselle, AL 35640-2404

Phone

(256) 773-2260

NPI assigned

Dec 8, 2021

Last updated

Apr 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Remedy Behavioral Health LLCGroup PAC ID 3375958853, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Remedy Behavioral Health, LLC

  dba Remedy Behavioral Health

  • Psychiatry Physician
  • Florence, AL
  • NPI 1013517317

  Family

  Medicare reassignment Care Compare group NPD
• Attentus Moulton, LLC

  dba Lawrence Rural Health Clinic, Moulton/Lawrence Urgent Care Center

  • Rural Health Clinic/Center
  • Moulton, AL
  • NPI 1124062286
  Medicare reassignment NPD
• Attentus Moulton, LLC

  dba Complete Family Care

  • Rural Health Clinic/Center
  • Moulton, AL
  • NPI 1699194308
  NPD
• Attentus Moulton, LLC

  dba Moulton Primary Care Clinic

  • Rural Health Clinic/Center
  • Moulton, AL
  • NPI 1760930200
  NPD
• Shoals NP Homecare, LLC

  • Home Health Agency
  • Town Creek, AL
  • NPI 1083178818
  NPD

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1245998152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11975 AL HIGHWAY 33",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356505152",
            "telephone_number": "256-280-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CEDAR ST NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402404",
            "telephone_number": "256-773-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEN",
        "first_name": "HALEY",
        "middle_name": "JORDAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-166955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hartselle Primary Care, P.C.
• Hartselles Emergency Services, LLC
• Brandi Kay Hawkins, LPN
• Catherine Carsen Hayman, OT
• Laura Haymon, MSW
• Healing Hooves, LLC
• Heart Sail (Heart Sail Medical)
• Hailey R Heiderman, APRN
• Catherine Delashaw Henderson, PHARMD
• Hendrix Dental, PC

• Family Nurse Practitioner in Hartselle, AL
• Providers in Hartselle, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.