Individual provider Active NPI

Haley Brewster, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1750758306
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009588 Issued in KY
Practice address
746 Campbell LN Ste 101
Bowling Green, KY 42104-1000
Phone
(270) 843-9510
Fax
(270) 843-9511
NPI assigned
Aug 31, 2015
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009588 KY Primary

Addresses

Primary practice location

746 Campbell LN Ste 101
Bowling Green, KY 42104-1000

Mailing address

746 Campbell LN Ste 101
Bowling Green, KY 42104-1000
Phone (270) 843-9510

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HALEY.BREWSTER@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20160126001378 KY Practitioner - Nurse Practitioner 3375846389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

990 Wilkinson Trce
Bowling Green, KY 42103-3404
Phone (270) 781-4043

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3009588KYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: haley.brewster@hca1.eclinicaldirectplus.com
  • Direct secure messaging: haleybrewster@ggc.allscriptsdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1750758306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 CAMPBELL LN STE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041000",
            "telephone_number": "270-843-9510",
            "fax_number": "270-843-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 CAMPBELL LN STE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041000",
            "telephone_number": "270-843-9510",
            "fax_number": "270-843-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "HALEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HALEY.BREWSTER@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "746 Campbell Ln Ste 101",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421041000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.