Brooklyn Michelle Hale, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN183292 Issued in GA

Practice address

1601 Hickory St
Dalton, GA 30720-8350

Phone

(706) 217-1926

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tapestry Hospice of Northwest Georgia LLCGroup PAC ID 5698937589, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tapestry Hospice of Northwest Georgia LLC

  • Community Based Hospice Care Agency
  • Calhoun, GA
  • NPI 1952686768
  Medicare reassignment Care Compare group NPD
• Homestead Hospice of Lawrencesville, LLC

  • Clinic/Center
  • Carrollton, GA
  • NPI 1336864875
  Medicare reassignment NPD
• Homestead Hospice of Northwest Georgia, LLC

  • Clinic/Center
  • Dalton, GA
  • NPI 1124766555
  Medicare reassignment NPD
• Homestead Hospice of Blairsville, LLC

  • Community Based Hospice Care Agency
  • Blairsville, GA
  • NPI 1609278522
  NPD (past)
• Traditions Hospice of Lawrenceville, LLC

  • Community Based Hospice Care Agency
  • Carrollton, GA
  • NPI 1952549412
  NPD (past)

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1598439648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 PIN OAK RD",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307365644",
            "telephone_number": "706-264-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HICKORY ST",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208350",
            "telephone_number": "706-217-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "BROOKLYN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN183292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Guerreso, RPH
• Dixie Guess
• Jose Luis Guzman Fuentes, M.D.
• Chelsea Marie Haas, PT, DPT
• Debra Hack-Sneary, PT
• Michael Andrew Hale, M.D.
• Emily A Hall, NP
• Kristina L Hall, NP
• Ibrahim Mousa Mahmoud Hamad, MD
• Stephanie N Hamby, LMFT

• Family Nurse Practitioner in Dalton, GA
• Providers in Dalton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.

Verify at the official NPI Registry.