Active NPI
Holly Smith Hatley, FNP
- Family Nurse Practitioner
- Albemarle, NC
National Provider Identifier
1588094726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5006616
- Practice address
- 1420 US 52 N Ste G
Albemarle, NC 28001-2622 - Phone
- (704) 982-9877
- NPI assigned
- Nov 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 204971 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5006616 | NC | Primary |
Addresses
Primary practice location
1420 US 52 N Ste G
Albemarle, NC 28001-2622
Mailing address
1420 US Hwy 52 North, Suite G
Albemarle, NC 28001
Phone (704) 982-9877
Other practice location 1
10130 Perimeter Pkwy
Ste 200
Charlotte, NC 28216-2447
Phone (888) 849-7379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588094726 | Medicaid | NC |
Other names 1
- Holly Deanna Smith
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | saltzman9877@hotmail.com | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140207001272 | NC | Practitioner - Nurse Practitioner | 7214166511 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1420 G US 52
Albemarle, NC 28001-2622
Phone (704) 982-9877
Hospital & facility affiliations
- Stanly Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204971 | NC | MD | Family Nurse Practitioner |
| 5006616 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leonard D Saltzman MD PA | Current | Accepting new patients |
Locations
1420G US 52 North
Albemarle, NC 28001
Phone (704) 982-9877
1420 US 52 North
#G
Albemarle, NC 28001
Phone (704) 982-9877
Interoperability endpoints
- holly.hatley.1@2678.direct.athenahealth.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.
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": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1588094726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 US HWY 52 NORTH, SUITE G",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "28001",
"telephone_number": "704-982-9877",
"fax_number": "704-982-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 US 52 N STE G",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280012622",
"telephone_number": "704-982-9877"
}
],
"practiceLocations": [
{
"address_1": "10130 Perimeter Pkwy",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282162447",
"country_code": "US",
"telephone_number": "888-849-7379",
"fax_number": "855-857-7333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATLEY",
"first_name": "HOLLY",
"middle_name": "SMITH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-26",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "204971",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5006616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588094726",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "saltzman9877@hotmail.com",
"affiliation": "N",
"endpointDescription": "Office Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Office",
"address_1": "1420 US 52 N Ste G",
"city": "Albemarle",
"state": "NC",
"country_code": "US",
"postal_code": "280012622",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "SMITH",
"middle_name": "DEANNA",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.