Individual provider Active NPI

Haley Whitley

  • Family Nurse Practitioner
  • Vestavia Hills, AL
National Provider Identifier
1407316458
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-161833 Issued in AL
Practice address
2010 Patton Chapel Rd
Vestavia Hills, AL 35216-5782
Phone
(205) 208-9001
NPI assigned
Mar 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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 1-161833 AL Primary

Addresses

Primary practice location

2010 Patton Chapel Rd
Vestavia Hills, AL 35216-5782

Mailing address

2017 Enclave Dr
Trussville, AL 35173-3831
Phone (251) 458-6352

Other practice location 1

1802 6th Ave S
Birmingham, AL 35233-1932
Phone (205) 934-3411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210720002872 AL Practitioner - Nurse Practitioner 6709289325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cahaba Pain and Spine Care LLCGroup PAC ID 9234423138, 15 clinicians

Practice addresses (Care Compare)

2010 Patton Chapel Rd
Suite 200
Hoover, AL 35216-5784
Phone (205) 208-9001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Pain and Spine Care, LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

2010 Patton Chapel Rd
Hoover, AL 35216
Phone (205) 208-9001

2010 Patton Chapel Rd
Ste 200
Hoover, AL 35216
Phone (205) 208-9001

Interoperability endpoints

  • Direct secure messaging: haley.whitley.1@13928.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13928/brand/2/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1407316458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 ENCLAVE DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351733831",
            "telephone_number": "251-458-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 PATTON CHAPEL RD",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352165782",
            "telephone_number": "205-208-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331932",
            "country_code": "US",
            "telephone_number": "205-934-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "HALEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-161833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.