Individual provider Active NPI

Mary Virginia Halbrooks

  • Primary Care Nurse Practitioner
  • Hartselle, AL
National Provider Identifier
1780151514
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-130823 Issued in AL
Practice address
1001 Hill St SW
Hartselle, AL 35640-2801
Phone
(256) 227-0876
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-130823 AL Primary

Addresses

Primary practice location

1001 Hill St SW
Hartselle, AL 35640-2801

Mailing address

250 Kaylee Loop
Hartselle, AL 35640-5364
Phone (256) 227-0876

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190228001842 AL Practitioner - Nurse Practitioner 6103165659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health of HartselleGroup PAC ID 5597782706, 3 clinicians

Practice addresses (Care Compare)

1006 Hill St SW
Hartselle, AL 35640-2802
Phone (256) 773-9756

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Muscle Shoals, AL, CCN 017326
  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health of Hartselle CurrentSince Jan 2, 2019 Accepting new patients

Locations

1006 Hill St SW
Hartselle, AL 35640
Phone (256) 565-8108

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1780151514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 KAYLEE LOOP",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356405364",
            "telephone_number": "256-227-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HILL ST SW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402801",
            "telephone_number": "256-227-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBROOKS",
        "first_name": "MARY",
        "middle_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-130823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartselle, AL

Sources for this page

Verify at the official NPI Registry.