Haley Shockley Stasica, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-135674 Issued in AL

Practice address

6727 Highway 431 S Ste L
Owens Cross Roads, AL 35763-9226

Phone

(256) 564-8900

NPI assigned

Dec 12, 2019

Last updated

Dec 12, 2019By 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

Other names 1

• Haley Shockley Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4693/brand/6/csg/1/fhir/r4

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.

• Hunter Patterson, LLC

  dba Curis Pain & Wellness

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Owens Cross Roads, AL
  • NPI 1952614505
  Medicare reassignment NPD
• Davis Medical Group, PC

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1023007325
  NPD (past)

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1770121568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 HIGHWAY 431 S STE L",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639226",
            "telephone_number": "256-564-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 HIGHWAY 431 S STE L",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639226",
            "telephone_number": "256-564-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASICA",
        "first_name": "HALEY",
        "middle_name": "SHOCKLEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-135674",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-135674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "SHOCKLEY",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sonopros
• South East Eyecare
• South Hampton Nursing and Rehabilitation Center, LLC
• Thomas Edward Spell III, DPT
• Star Optometry Al, LLC (InFocus Eyecare)
• Dewanna K Staup, O.D.
• James C Staup III, O.D.
• Hannah Stevens, SLP
• Super Kids Urgent Care, PLLC
• Lindsay Gunter Taylor, LMFT

• Adult Health Nurse Practitioner in Owens Cross Roads, AL
• Providers in Owens Cross Roads, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.

Verify at the official NPI Registry.