Individual provider Active NPI

Hayley Rafferty, APRN

  • Women's Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1528607975
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26570 Issued in TN
Practice address
4928 Edmondson Pike Ste 205
Nashville, TN 37211-4791
Phone
(156) 222-1400
Fax
(615) 222-1410
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26570 TN Primary

Addresses

Primary practice location

4928 Edmondson Pike Ste 205
Nashville, TN 37211-4791

Mailing address

1401 3Rd Ave N Apt 531
Nashville, TN 37208-3288

Other names 1

  • Haley Alexandria Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200731000574 TN Practitioner - Nurse Practitioner 2264857705 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince May 1, 2020 Accepting new patients
Women'S and Children'S Health PC Women'S Health Past Accepting new patients

Locations

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

4928 Edmonson Pike
Ste 205
Nashville, TN 37211
Phone (615) 222-1400

Interoperability endpoints

  • Direct secure messaging: hayleyrafferty@gwc.ssdirect.aprima.com
  • Direct secure messaging: hayley.rafferty.1@25307.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1528607975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 3RD AVE N APT 531",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 EDMONDSON PIKE STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114791",
            "telephone_number": "156-222-1400",
            "fax_number": "615-222-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFERTY",
        "first_name": "HAYLEY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "26570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "JOHNSON",
            "middle_name": "ALEXANDRIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.