Active NPI
Tonya Denise Hasty, FNP-C
- Nurse Practitioner
- Rocky Mount, NC
National Provider Identifier
1346965324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5017034
- Practice address
- 111 S Fairview Rd
Rocky Mount, NC 27801-6971 - Phone
- (252) 212-6810
- Fax
- (252) 212-3497
- NPI assigned
- Oct 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | HAST-TN20P | NC | |
| Primary Care Nurse Practitioner | 363LP2300X | HAST-TN20P | NC | |
| Nurse Practitioner | 363L00000X | 5017034 | NC | Primary |
Addresses
Primary practice location
111 S Fairview Rd
Rocky Mount, NC 27801-6971
Mailing address
690 Poplar LN
Halifax, NC 27839-7702
Phone (252) 578-4255
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAST-TN20P | NC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opportunities Industrialization Center, Inc. | Current | Accepting new patients | |
| Opportunities Industrialization Center, Inc | Current | Accepting new patients | |
| Opportunities Industrialization Center, Inc | Current | Accepting new patients |
Locations
300 N Grace St
Rocky Mount, NC 27804
Phone (252) 210-9856
111 S Fairview Rd
Rocky Mount, NC 27801
Phone (252) 212-3486
1041 Noell Ln
#B
Rocky Mount, NC 27804
Phone (252) 962-3450
2309 Sunset Ave
Rocky Mount, NC 27804
Phone (252) 210-9856
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Rocky Mount, NC
- NPI 1578219424
-
- Federally Qualified Health Center (FQHC)
- Rocky Mount, NC
- NPI 1922020908
-
- Federally Qualified Health Center (FQHC)
- Rocky Mount, NC
- NPI 1750734307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1346965324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 POPLAR LN",
"city": "HALIFAX",
"state": "NC",
"postal_code": "278397702",
"telephone_number": "252-578-4255",
"fax_number": "252-212-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S FAIRVIEW RD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278016971",
"telephone_number": "252-212-6810",
"fax_number": "252-212-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTY",
"first_name": "TONYA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "HAST-TN20P",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "HAST-TN20P",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5017034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.