Individual provider Active NPI

Harvey William Hall, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1477958270
Registry record updated Aug 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60506139 Issued in WA
Practice address
1800 Cooper Point Rd SW Ste 19
Olympia, WA 98502
Phone
(360) 972-0290
Fax
(360) 763-5071
NPI assigned
Oct 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 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 AP60506139 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60506139 WA Primary

Addresses

Primary practice location

1800 Cooper Point Rd SW Ste 19
Olympia, WA 98502

Mailing address

1800 Cooper Point Rd SW Ste 19
Olympia, WA 98502-1179
Phone (360) 972-0290

Other practice location 1

2708 Westmoor Ct SW
Olympia, WA 98502-5754
Phone (360) 943-8810

Other practice location 2

1800 Cooper Point Rd SW Ste 19
Olympia, WA 98502
Phone (360) 972-0290

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genuine Healthcare, PLLC Psychiatric/Mental Health CurrentSince Aug 25, 2019 Accepting new patients

Locations

1800 Cooper Point Rd SW
Ste 19
Olympia, WA 98502
Phone (360) 972-0290

Interoperability endpoints

  • Direct secure messaging: genuinehealthcareofthepacificnorthwest.harveyhall@143787.advancedmd-direct.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.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566000000000",
    "number": "1477958270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW STE 19",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021179",
            "telephone_number": "360-972-0290",
            "fax_number": "360-763-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW STE 19",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-972-0290",
            "fax_number": "360-763-5071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2708 Westmoor Ct SW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985025754",
            "country_code": "US",
            "telephone_number": "360-943-8810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Cooper Point Rd SW Ste 19",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "98502",
            "country_code": "US",
            "telephone_number": "360-972-0290",
            "fax_number": "360-763-5071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "HARVEY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2019-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60506139",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60506139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.