Individual provider Active NPI

Haley Cheyenne Watson, FNP

  • Nurse Practitioner
  • Lenoir, NC
National Provider Identifier
1528822251
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F04240397 Issued in NC
Practice address
1041 Morganton Blvd SW Ste 100
Lenoir, NC 28645-5605
Phone
(828) 323-2460
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nurse Practitioner 363L00000X F04240397 NC Primary

Addresses

Primary practice location

1041 Morganton Blvd SW Ste 100
Lenoir, NC 28645-5605

Mailing address

2608 Green Acres St
Lenoir, NC 28645-9419
Phone (336) 928-0203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240520001715 NC Practitioner - Nurse Practitioner 0446692644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

1041 Morganton Blvd SW
Suite 100
Lenoir, NC 28645-5605
Phone (828) 323-2460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F04240397NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group, LLC Nurse Practitioner CurrentSince Jun 15, 2024 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Jun 15, 2024 Accepting new patients
DLP Frye Medical Group LLC Nurse Practitioner Past Accepting new patients

Locations

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

1041 Morganton Blvd SW
#100
Lenoir, NC 28645
Phone (828) 323-2460

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: haley.watson.1@15786.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1528822251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 GREEN ACRES ST",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286459419",
            "telephone_number": "336-928-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 MORGANTON BLVD SW STE 100",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455605",
            "telephone_number": "828-323-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "HALEY",
        "middle_name": "CHEYENNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "F04240397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.