Individual provider Active NPI

Yali Hao

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1407166960
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1010132 Issued in TN
Practice address
2994 S Church St
Murfreesboro, TN 37127-8351
Phone
(615) 900-4045
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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 F1010132 TN Primary

Addresses

Primary practice location

2994 S Church St
Murfreesboro, TN 37127-8351

Mailing address

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215-6403
Phone (615) 988-2014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110608000710 TN Practitioner - Nurse Practitioner 6103003736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1010132TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Family CurrentSince Apr 24, 2017 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 5, 2016 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 5, 2016 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Apr 24, 2017 Accepting new patients

Locations

455 Chickamauga Dr
Ste 101
Dayton, TN 37321
Phone (423) 428-9156

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

3403 S Church St
Ste D
Murfreesboro, TN 37127
Phone (615) 546-0015

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

625 E 12th St
South Pittsburg, TN 37380
Phone (423) 648-4460

2006 Memorial Blvd
Ste 101
Springfield, TN 37172
Phone (615) 380-8411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12732/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1407166960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD",
            "address_2": "STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-988-2014",
            "fax_number": "615-208-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2994 S CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371278351",
            "telephone_number": "615-900-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAO",
        "first_name": "YALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "F1010132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.