Individual provider Active NPI

Haoxin Yin, RN, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1467062604
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28676 Issued in TN
Practice address
5203 Maryland Way Ste 100
Brentwood, TN 37027-5022
Phone
(901) 682-6136
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 240656 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28676 TN Primary

Addresses

Primary practice location

5203 Maryland Way Ste 100
Brentwood, TN 37027-5022

Mailing address

PO Box 680964
Franklin, TN 37068-0964
Phone (615) 601-4379

Other practice location 1

2015 Terrace Pl
Nashville, TN 37203-2412
Phone (615) 601-4379

Other names 1

  • Ely Yin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
240656TNMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: haoxin.yin.1@22469.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1467062604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680964",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370680964",
            "telephone_number": "615-601-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 MARYLAND WAY STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275022",
            "telephone_number": "901-682-6136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Terrace Pl",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032412",
            "country_code": "US",
            "telephone_number": "615-601-4379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIN",
        "first_name": "HAOXIN",
        "credential": "RN, MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "240656",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "28676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELY",
            "last_name": "YIN",
            "credential": "RN, MSN, PMHNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.