Individual provider Active NPI

Michael Haliday, APRN FNP-C

  • Family Nurse Practitioner
  • Campbellsville, KY
National Provider Identifier
1336521616
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009428 Issued in KY
Practice address
67 Kingswood Dr
Campbellsville, KY 42718-9647
Phone
(270) 849-2379
Fax
(270) 789-6119
NPI assigned
Jun 23, 2015
Last updated
May 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009428 KY Primary

Addresses

Primary practice location

67 Kingswood Dr
Campbellsville, KY 42718-9647

Mailing address

1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone (270) 789-6082

Other names 1

  • Mike Haliday Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160114002669 KY Practitioner - Nurse Practitioner 7416250063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
73.96 of 100Reported as group
Quality
62.41
Promoting interoperability
69
Improvement activities
40
Cost
71.3

Merit-based Incentive Payment System (MIPS)

Final score
92.9 of 100Reported as group
Quality
85.93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group LLC Family CurrentSince Dec 15, 2015 Accepting new patients
Taylor Regional Medical Group,LLC Current Accepting new patients
Taylor Regional Medical Group Family CurrentSince Dec 15, 2015 Accepting new patients
Taylor Regional Medical Group, LLC Family CurrentSince May 1, 2016 Accepting new patients

Locations

125 Greenbriar Dr
Campbellsvlle, KY 42718
Phone (270) 789-6166

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

67 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-2116

73 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 789-1112

325 W Walnut St
Ste 300
Lebanon, KY 40033
Phone (270) 692-0735

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.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1336521616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189615",
            "telephone_number": "270-789-6082",
            "fax_number": "270-789-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189647",
            "telephone_number": "270-849-2379",
            "fax_number": "270-789-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALIDAY",
        "first_name": "MICHAEL",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "HALIDAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.