Ashley Monique Haasis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1072206 Issued in TX

Practice address

1317 N Hillcrest Dr
Sulphur Springs, TX 75482-2091

Phone

(903) 348-4273

Fax

(903) 438-1107

NPI assigned

Jun 6, 2024

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 TX

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, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashley.haasis.p4@direct.chsa.nextgenshare.com

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.

• Community Health Service Agency, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cooper, TX
  • NPI 1700067253
  Medicare reassignment NPD
• Community Health Service Agency, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sulphur Springs, TX
  • NPI 1184275711
  NPD
• Community Health Service Agency, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenville, TX
  • NPI 1821475575
  NPD (past)
• Jordan'S Place Pediatrics, PA

  • Primary Care Clinic/Center
  • Sulphur Springs, TX
  • NPI 1245419431
  NPD (past)

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1669213146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N HILLCREST DR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822091",
            "telephone_number": "903-348-4273",
            "fax_number": "903-438-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N HILLCREST DR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822091",
            "telephone_number": "903-348-4273",
            "fax_number": "903-438-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAASIS",
        "first_name": "ASHLEY",
        "middle_name": "MONIQUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1072206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christin Gortmaker, PTA
• Nivas Govindarajan, MD
• Greenville Pharmacy Inc
• James E Gulde, M.D.
• Julie Ann Gustafson, RN, RDH
• James Michael Hagar, PT
• Jason Price Haire, PHARMD
• Christina Hall, RN BSN
• Lana Kay Hall
• Hamilton County Hospital District

• Family Nurse Practitioner in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.