Individual provider Active NPI

Haley Heckaman, FNP-C

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1558021055
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-168784 Issued in AL
Practice address
247 Chateau Dr SW
Huntsville, AL 35801-6401
Phone
(256) 882-1510
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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 1-168784 AL Primary

Addresses

Primary practice location

247 Chateau Dr SW
Huntsville, AL 35801-6401

Mailing address

247 Chateau Dr SW
Huntsville, AL 35801-6401
Phone (256) 651-5606

Other names 1

  • Haley Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220307000853 AL Practitioner - Nurse Practitioner 8123412285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-168784ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innova Primary Care, PC CurrentSince Jan 5, 2022 Accepting new patients

Locations

247 Chateau Dr SW
Huntsville, AL 35801
Phone (256) 533-9393

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFECDA
  • Direct secure messaging: haley.thompson@innovapc.eclinicaldirectplus.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": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1558021055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-651-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-882-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKAMAN",
        "first_name": "HALEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-168784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "THOMPSON",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.