Individual provider Active NPI

Haley Jo Nollner

  • Behavior Technician
  • Mount Juliet, TN
National Provider Identifier
1821731274
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
854 N Mount Juliet Rd
Mt Juliet, TN 37122-4430
Phone
(615) 564-4984
Fax
(877) 866-6152
NPI assigned
Apr 14, 2022
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

854 N Mount Juliet Rd
Mt Juliet, TN 37122-4430

Mailing address

854 N Mount Juliet Rd
Mt Juliet, TN 37122-4430
Phone (615) 564-4984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1821731274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 N MOUNT JULIET RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371224430",
            "telephone_number": "615-564-4984",
            "fax_number": "877-866-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 N MOUNT JULIET RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371224430",
            "telephone_number": "615-564-4984",
            "fax_number": "877-866-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLLNER",
        "first_name": "HALEY",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.