Halley Azad
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Florence, KY
NPI 1912835752 · NPPES record last updated May 12, 2026
Key facts
- NPI
- 1912835752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 4057039 (KY)
- Practice address
- 7607 Dixie Hwy
Florence, KY 41042-2644 - Phone
- (859) 655-6100
- Fax
- (859) 282-8611
- NPI assigned
- May 12, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
215 E 11TH St
Newport, KY 41071-2203
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260616004276 | KY | Practitioner - Nurse Practitioner | 1951873306 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4057039 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4057039 | KY | Yes |
Addresses
Primary practice location
7607 Dixie Hwy
Florence, KY 41042-2644
Mailing address
215 E 11TH St
Newport, KY 41071-2203
Phone (859) 655-6100
Other providers in Florence, KY
- Avis Lehn Counseling & Consulting, PLLC
- Samantha Ann Avis
- Awareness and Discovery Group LLC
- Sanjana Shubhani Awasty
- Siham Aydiid
- Alicia Dawn Bachman
- Back to Health Chiropractic PSC
- Grace Bailey
- Glenn F Baird
- Aimee Baker
All providers in Florence, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.