Individual provider Active NPI

Haley Kathryn Hale, APRN

  • Family Nurse Practitioner
  • Mustang, OK
National Provider Identifier
1477265163
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
211063 Issued in OK
Practice address
160 E SW 59TH St
Mustang, OK 73064-4722
Phone
(405) 397-2385
NPI assigned
Dec 14, 2022
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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 211063 OK Primary

Addresses

Primary practice location

160 E SW 59TH St
Mustang, OK 73064-4722

Mailing address

5704 Ledgestone Dr
Mustang, OK 73064-7269
Phone (405) 397-2385

Other names 1

  • Ms. Haley Kathryn Hale Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hkh@justkidspeds.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211063OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aky MD, LLC Past Accepting new patients
QS Peds Med LLC PastSince Jun 26, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hkh@justkidspeds.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1477265163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 LEDGESTONE DR",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730647269",
            "telephone_number": "405-397-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E SW 59TH ST",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644722",
            "telephone_number": "405-397-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "HALEY",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "211063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hkh@justkidspeds.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "160 E SW 59th St",
            "city": "Mustang",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730644722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "HALE",
            "middle_name": "KATHRYN",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mustang, OK

Sources for this page

Verify at the official NPI Registry.