Active NPI
Marilyn D Haymaker, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Hendersonville, TN
National Provider Identifier
1669720587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN0000023259
- Practice address
- 145 Devonshire TRL
Hendersonville, TN 37075-5812 - Phone
- (615) 813-4672
- NPI assigned
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91619 | TN | MD | Registered Nurse |
| APN0000023259 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 91619 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN0000023259 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
145 Devonshire TRL
Hendersonville, TN 37075-5812
Mailing address
145 Devonshire TRL
Hendersonville, TN 37075-5812
Phone (615) 400-3608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2023.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1669720587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 DEVONSHIRE TRL",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370755812",
"telephone_number": "615-400-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 DEVONSHIRE TRL",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370755812",
"telephone_number": "615-813-4672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYMAKER",
"first_name": "MARILYN",
"middle_name": "D",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2023-07-10",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "91619",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "APN0000023259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.