Individual provider Active NPI

Vanessa Renee Haslag, FNP-C

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1811588171
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28948 Issued in TN
Practice address
130 N Spring St
Clarksville, TN 37040-3240
Phone
(615) 346-9437
Fax
(615) 291-1702
NPI assigned
Jan 29, 2021
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28948 TN Primary

Addresses

Primary practice location

130 N Spring St
Clarksville, TN 37040-3240

Mailing address

130 N Spring St
Clarksville, TN 37040-3240
Phone (615) 346-9437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210406001438 TN Practitioner - Nurse Practitioner 5597172775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28948TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Apr 20, 2021 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Apr 21, 2021 Accepting new patients

Locations

2945 Scottsville Rd
Ste E32
Bowling Green, KY 42104
Phone (270) 783-3992

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

2600 Memorial Blvd
Springfield, TN 37172
Phone (615) 212-0920

510 Highway 76
White House, TN 37188
Phone (615) 581-5089

Interoperability endpoints

  • Direct secure messaging: vanessa.haslag@488678167609348.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1811588171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N SPRING ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403240",
            "telephone_number": "615-346-9437",
            "fax_number": "615-291-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N SPRING ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403240",
            "telephone_number": "615-346-9437",
            "fax_number": "615-291-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASLAG",
        "first_name": "VANESSA",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.