Active NPI
Mary Virginia Halbrooks
- Primary Care Nurse Practitioner
- Hartselle, AL
National Provider Identifier
1780151514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1-130823
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1006 Hill St SW
Hartselle, AL 35640-2802
Phone (256) 773-9756
Hospital & facility affiliations
- Enhabit Home Health
- Decatur Morgan Hospital - Decatur Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health of Hartselle | Current | 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.
-
- Family Medicine Physician
- Hartselle, AL
- NPI 1982780185
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Decatur, AL
- NPI 1538620984
-
- General Acute Care Hospital
- Decatur, AL
- NPI 1356692297
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.