Marilyn D Haymaker, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN0000023259 Issued in TN

Practice address

145 Devonshire TRL
Hendersonville, TN 37075-5812

Phone

(615) 813-4672

NPI assigned

Aug 27, 2012

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "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": []
}

• Brendan Hayes, MD
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• Katrina R Hayes, LCSW
• Matt Hayes
• Samuel Hayes
• Lunyia Head
• Healing Care
• Healing Hands Health Institute, P.C (iCare Primary Care)
• Healing Pastures, LLC
• Healthy Inside & Out LLC (Black Orchid Body Shop)

• Psychiatric/Mental Health Nurse Practitioner in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• 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.

Verify at the official NPI Registry.