Individual provider Active NPI

Haley Weathers Stovall, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1699314476
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
27044 Issued in TN
Practice address
545 Brandies Cir
Murfreesboro, TN 37128-7687
Phone
(615) 295-2176
NPI assigned
Dec 27, 2019
Last updated
Jan 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 215323 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27044 TN Primary

Addresses

Primary practice location

545 Brandies Cir
Murfreesboro, TN 37128-7687

Mailing address

545 Brandies Cir
Murfreesboro, TN 37128-7687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200401000428 TN Practitioner - Nurse Practitioner 5597194290 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
215323TNMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Scout Holdings, LLC CurrentSince Sep 19, 2023 Accepting new patients
Omni Community Health, Inc. CurrentSince Feb 24, 2020 Accepting new patients

Locations

4709 Papermill Dr
Ste 100
Knoxville, TN 37909

2626 Merchants Walk
Murfreesboro, TN 37128
Phone (615) 225-8903

545 Brandies Cir
Murfreesboro, TN 37128
Phone (615) 295-2176

805 S Church St
Ste 19
Murfreesboro, TN 37130
Phone (615) 994-1468

145 Thompson Ln
Nashville, TN 37211
Phone (615) 781-0013

301 S Perimeter Park Dr
Ste 210
Nashville, TN 37211
Phone (615) 726-3603

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1699314476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BRANDIES CIR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371287687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BRANDIES CIR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371287687",
            "telephone_number": "615-295-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "HALEY",
        "middle_name": "WEATHERS",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TN",
            "license": "215323",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "27044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.