Individual provider Active NPI

Haley W Stuart, NP-C

  • Family Medicine Physician
  • Hartselle, AL
National Provider Identifier
1437798733
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-127149 Issued in AL
Practice address
615 Mynatt St SW Ste E
Hartselle, AL 35640-2878
Phone
(256) 773-2979
Fax
(256) 773-2986
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-127149 AL Primary

Addresses

Primary practice location

615 Mynatt St SW Ste E
Hartselle, AL 35640-2878

Mailing address

615 Mynatt St SW Ste E
Hartselle, AL 35640-2878
Phone (256) 773-2979

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@hartsellefamilymed.e-mdsdirect.com

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
I20200225002524 AL Practitioner - Nurse Practitioner 7810324258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartselle Family MedicineGroup PAC ID 5395765762, 5 clinicians

Practice addresses (Care Compare)

615 Mynatt St SW
Suite E
Hartselle, AL 35640-2878
Phone (256) 773-2979

Hospital & facility affiliations

  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hartselle Family Medicine Family Medicine CurrentSince Dec 30, 2019 Accepting new patients

Locations

615 Mynatt St SW
Ste E
Hartselle, AL 35640
Phone (256) 773-2979

Interoperability endpoints

  • Direct secure messaging: admin@hartsellefamilymed.e-mdsdirect.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1437798733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MYNATT ST SW STE E",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402878",
            "telephone_number": "256-773-2979",
            "fax_number": "256-773-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MYNATT ST SW STE E",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402878",
            "telephone_number": "256-773-2979",
            "fax_number": "256-773-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "HALEY",
        "middle_name": "W",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-127149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@hartsellefamilymed.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "615 Mynatt St SW Ste E",
            "city": "Hartselle",
            "state": "AL",
            "country_code": "US",
            "postal_code": "356402878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartselle, AL

Sources for this page

Verify at the official NPI Registry.