Active NPI
Michelle Lee Hale, FNP-BC
- Family Nurse Practitioner
- Greeneville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20686
- Practice address
- 318 Tusculum Blvd
Greeneville, TN 37745-3926 - Phone
- (423) 639-7700
- Fax
- (423) 639-7702
- NPI assigned
- Nov 13, 2015
- Last updated
- Dec 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20686 | TN | Primary |
Addresses
Primary practice location
318 Tusculum Blvd
Greeneville, TN 37745-3926
Mailing address
201 Cherry Grove Rd
Jonesborough, TN 37659-6951
Phone (423) 291-2567
Other practice location 1
1500 W Elk Ave
Elizabethton, TN 37643-2654
Phone (423) 547-0852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20686 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King's Way Family Medicine, LLC | Current | Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients |
Locations
880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669
318 Tusculum Blvd
Greeneville, TN 37745
Phone (423) 639-7700
115 Woodlawn Dr
Johnson City, TN 37604
Phone (423) 943-0956
140 Technology Ln
Johnson City, TN 37604
Phone (423) 434-2016
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Greeneville, TN
- NPI 1083178974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1740654714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CHERRY GROVE RD",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376596951",
"telephone_number": "423-291-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 TUSCULUM BLVD",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377453926",
"telephone_number": "423-639-7700",
"fax_number": "423-639-7702"
}
],
"practiceLocations": [
{
"address_1": "1500 W Elk Ave",
"address_purpose": "LOCATION",
"city": "Elizabethton",
"state": "TN",
"postal_code": "376432654",
"country_code": "US",
"telephone_number": "423-547-0852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALE",
"first_name": "MICHELLE",
"middle_name": "LEE",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-13",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "20686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.