Active NPI
Hayley Deanna Smith, NP
- Adult Health Nurse Practitioner
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AG01220093
- Practice address
- 2601 Lake Dr Ste 201
Raleigh, NC 27607-6689 - Phone
- (919) 783-4888
- Fax
- (919) 783-4887
- NPI assigned
- Jan 25, 2022
- Last updated
- May 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AG01220093 | NC | Primary |
Addresses
Primary practice location
2601 Lake Dr Ste 201
Raleigh, NC 27607-6689
Mailing address
PO Box 18563
Raleigh, NC 27619-8563
Phone (919) 782-1806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7780 Brier Creek Pkwy
Suite 200
Raleigh, NC 27617-7869
Phone (919) 596-3400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG01220093 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brier Creek Integrated Pain & Spine PLLC | Current | Accepting new patients |
Locations
422 Peacock St
Ahoskie, NC 27910
Phone (252) 332-4100
615 S Hughes Blvd
Ste C
Elizabeth Cty, NC 27909
Phone (252) 338-0373
7780 Brier Creek Pkwy
Raleigh, NC 27617
7780 Brier Creek Pkwy
Ste 200
Raleigh, NC 27617
Phone (919) 246-7266
709 Julian Allsbrk Hwy
Roanoke Rapids, NC 27870
4020 Shipyard Blvd
Wilmington, NC 28403
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Raleigh, NC
- NPI 1538352760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1326790825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18563",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276198563",
"telephone_number": "919-782-1806",
"fax_number": "919-782-4756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 LAKE DR STE 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076689",
"telephone_number": "919-783-4888",
"fax_number": "919-783-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "HAYLEY",
"middle_name": "DEANNA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "AG01220093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.