Chastity Haltam, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11005814 Issued in FL

Practice address

224 Southpark Cir E
Saint Augustine, FL 32086-5135

Phone

(904) 342-4941

NPI assigned

Jan 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bailey Spine and Wellness LLCGroup PAC ID 1052698388, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bailey Spine & Wellness, LLC

  • General Practice Physician
  • Saint Augustine, FL
  • NPI 1255876033
  Medicare reassignment Care Compare group NPD
• Bailey Chiropractic Life Center Inc.

  • Chiropractor
  • Miami, FL
  • NPI 1588849160
  NPD (past)

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1780214767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SOUTHPARK CIR E",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865135",
            "telephone_number": "049-342-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SOUTHPARK CIR E",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865135",
            "telephone_number": "904-342-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTAM",
        "first_name": "CHASTITY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-18",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene D Hall, PTA
• Lisa Margaret Hall, R.D.
• Melissa Dale Hall, LMT
• Vicki Lynn Hall, CCC-SLP
• Rani E Halliday, COTA
• Aaron Halterman, PH.D.
• Morgan Halton
• Brittyn Hamer, PA-C
• Cathy A. Hamilton, LMT,CBP
• Hand Therapy Specialist of Florida Inc

• Family Nurse Practitioner in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.
• 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.

Verify at the official NPI Registry.