Individual provider Active NPI

Jayda Haley, CNM/WHNP

  • Advanced Practice Midwife
  • Hermitage, TN
National Provider Identifier
1912682956
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
36146 Issued in TN
Practice address
5651 Frist Blvd Ste 500
Hermitage, TN 37076-2059
Phone
(615) 874-8006
Fax
(615) 316-4026
NPI assigned
Jun 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 36146 TN Primary
Advanced Practice Midwife 367A00000X 0100703 CO

Addresses

Primary practice location

5651 Frist Blvd Ste 500
Hermitage, TN 37076-2059

Mailing address

329 Martin LN
Cottontown, TN 37048-4616

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716001072 TN Practitioner - Certified Nurse Midwife (CNM) 5597128694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Georgetown University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Womens Group, LLCGroup PAC ID 4789938721, 16 clinicians

Practice addresses (Care Compare)

5651 Frist Blvd
Suite 500
Hermitage, TN 37076-2059
Phone (615) 874-8006

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0100703COMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Womens Group, LLC CurrentSince Jul 22, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5651 Frist Blvd
Ste 500
Hermitage, TN 37076
Phone (615) 874-8006

920 S Hartmann Dr
Ste 110
Lebanon, TN 37090
Phone (615) 208-7969

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Interoperability endpoints

  • Direct secure messaging: jayda.haley@hca1.eclinicaldirectplus.com

Organizations & group practices 1

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1912682956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MARTIN LN",
            "city": "COTTONTOWN",
            "state": "TN",
            "postal_code": "370484616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 500",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762059",
            "telephone_number": "615-874-8006",
            "fax_number": "615-316-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "JAYDA",
        "name_prefix": "Mrs.",
        "credential": "CNM/WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "36146",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "0100703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.