Individual provider Active NPI

Rhanda Haeme, FNP-BC

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1427422948
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-104706 Issued in AL
Practice address
600 Saint Clair Ave SW Ste 3
Huntsville, AL 35801-5057
Phone
(256) 536-4700
NPI assigned
Nov 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000020040 TN
Family Nurse Practitioner 363LF0000X 1-104706 AL Primary

Addresses

Primary practice location

600 Saint Clair Ave SW Ste 3
Huntsville, AL 35801-5057

Mailing address

600 Saint Clair Ave SW Ste 3
Huntsville, AL 35801-5057
Phone (256) 536-4700

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
I20170927004408 AL Practitioner - Nurse Practitioner 3274807318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Madison Urgent and Primary Care LLCGroup PAC ID 4486034774, 10 clinicians

Practice addresses (Care Compare)

11202 County Line Rd
Suite a
Madison, AL 35758-4866
Phone (256) 278-3080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000020040TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Action Coalition of Huntsville CurrentSince Feb 19, 2018 Accepting new patients
AIDS Action Coalition of Huntsville CurrentSince Feb 19, 2018 Accepting new patients

Locations

112 S Pine St
Ste 202
Florence, AL 35630
Phone (256) 764-0492

3500 Memorial Pkwy SW
Huntsville, AL 35801
Phone (256) 213-1800

600 Saint Clair Ave SW
Ste 3
Huntsville, AL 35801
Phone (256) 536-4700

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.

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1427422948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SAINT CLAIR AVE SW STE 3",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015057",
            "telephone_number": "256-536-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SAINT CLAIR AVE SW STE 3",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015057",
            "telephone_number": "256-536-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEME",
        "first_name": "RHANDA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000020040",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-104706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.