Haley Reed Gibson
Individual provider Active NPI Nurse Practitioner · Grundy, VA
NPI 1316624927 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1316624927
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024187472 (VA)
- Practice address
- 1520 Slate Creek Rd
Grundy, VA 24614-6975 - Phone
- (276) 935-1000
- NPI assigned
- Jul 5, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Buchanan General Hospital Inc.
Practice addresses (Care Compare)
1535 Slate Creek Rd
Grundy, VA 24614-6974
Phone (276) 935-1000
Hospital & facility affiliations
- Buchanan General Hospital
- Clinch Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230905000059 | VA | Practitioner - Nurse Practitioner | 4486017738 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024187472 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buchanan General Hospital Inc | Current |
Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Buchanan General Hospital Inc | Current |
Accepting new patients | |
| Buchanan Health Care LLC | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125
1520 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-2148
1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024187472 | VA | Yes |
Addresses
Primary practice location
1520 Slate Creek Rd
Grundy, VA 24614-6975
Mailing address
1520 Slate Creek Rd
Grundy, VA 24614-6975
Phone (276) 698-5984
Other providers in Grundy, VA
- Susan Buskill Fogg
- Samantha Renee Fraley
- Friendship Home Health Inc
- Rachel Ann Fuller
- David Allen Gettman
- Janice Goff
- Maragret L Goss
- Aleshia Grizzle
- Grundy Internal Medicine, PC
- Grundy Life Care Corp
All providers in Grundy, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.