Individual provider Active NPI

Haley D. Quillen, FNP-C

  • Family Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1902151616
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16881 Issued in TN
Practice address
1001 Tusculum Blvd
Greeneville, TN 37745-4036
Phone
(423) 972-4770
Fax
(423) 485-6421
NPI assigned
Jul 18, 2012
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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 16881 TN Primary

Addresses

Primary practice location

1001 Tusculum Blvd
Greeneville, TN 37745-4036

Mailing address

1001 Tusculum Blvd
Greeneville, TN 37745-4036
Phone (423) 972-4770

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
I20120918000348 TN Practitioner - Nurse Practitioner 4284882119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Q-Care Medical PLLCGroup PAC ID 4082974720, 3 clinicians

Practice addresses (Care Compare)

1001 Tusculum Blvd
Greeneville, TN 37745-4036
Phone (423) 972-4770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16881TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Q-Care Medical PLLC Family CurrentSince Oct 20, 2017 Accepting new patients
Tri-Cities Gastroenterology LLC PastSince Nov 7, 2025 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

1001 Tusculum Blvd
Greeneville, TN 37745
Phone (423) 972-4770

2055 E Andrew Johnson Hwy
Ste 3
Greeneville, TN 37745
Phone (423) 639-2176

3225 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 922-9224

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1902151616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454036",
            "telephone_number": "423-972-4770",
            "fax_number": "423-485-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454036",
            "telephone_number": "423-972-4770",
            "fax_number": "423-485-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLEN",
        "first_name": "HALEY",
        "middle_name": "D.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.