Individual provider Active NPI

Jamie Lynn Haney, CRNP

  • Family Nurse Practitioner
  • Greensboro, AL
National Provider Identifier
1801372149
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1118294 Issued in AL
Practice address
508 Greene St
Greensboro, AL 36744-2318
Phone
(334) 624-3024
Fax
(334) 624-4453
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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 4

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

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
Hale County Hospital 19 clinicians

Practice addresses (Care Compare)

508 Greene St
Greensboro, AL 36744-2316

Hospital & facility affiliations

  • Hale County Hospital Hospital, Greensboro, AL, CCN 010095
  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

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
I20181105002802 AL Practitioner - Nurse Practitioner 7416200654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1118294ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hale County Hospital CurrentSince Aug 5, 2018 Accepting new patients
Hale County Hospital CurrentSince Aug 5, 2018 Accepting new patients

Locations

508 Greene St
#2
Greensboro, AL 36744
Phone (334) 624-3024

508 Greene St
Greensboro, AL 36744
Phone (334) 624-3024

40870 AL Highway 69
Ste A
Moundville, AL 35474
Phone (205) 371-4444

Interoperability endpoints

  • Direct secure messaging: jamie.haney.2@12717.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1118294 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

508 Greene St
Greensboro, AL 36744-2318

Mailing address

508 Greene St
Greensboro, AL 36744-2318
Phone (334) 624-3024

Other practice location 1

40870 Al Highway 69 Ste A
Moundville, AL 35474-4367
Phone (205) 371-4444

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2018.

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1801372149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GREENE ST",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367442318",
            "telephone_number": "334-624-3024",
            "fax_number": "334-624-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GREENE ST",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367442318",
            "telephone_number": "334-624-3024",
            "fax_number": "334-624-4453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40870 Al Highway 69 Ste A",
            "address_purpose": "LOCATION",
            "city": "Moundville",
            "state": "AL",
            "postal_code": "354744367",
            "country_code": "US",
            "telephone_number": "205-371-4444",
            "fax_number": "205-371-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANEY",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1118294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, AL

Sources for this page

Verify at the official NPI Registry.