Amy Marie Hatley, APRN/FNP/BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005304 Issued in AR

Practice address

801 Goldsmith Rd
Paragould, AR 72450-9509

Phone

(870) 236-7782

Fax

(870) 239-6329

NPI assigned

Oct 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Arkansas Department of Health Payroll OfficeGroup PAC ID 5799696779, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arkansas Department of Health Payroll Office

  • Public Health or Welfare Agency
  • Little Rock, AR
  • NPI 1619195906
  Medicare reassignment Care Compare group
• State of Arkansas

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1891808630
  NPD (past)

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1922573963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 GOLDSMITH RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724509509",
            "telephone_number": "870-236-7782",
            "fax_number": "870-239-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GOLDSMITH RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724509509",
            "telephone_number": "870-236-7782",
            "fax_number": "870-239-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATLEY",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "APRN/FNP/BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Ross Hart
• Chelsea Paige Harvey, PHARMD
• Ali Madeeh Hashmi, MD
• Adel A.F. Hassan, MD
• Alexus Hatfield
• Alison Hatton
• Allie Jo Haughey, PA
• John Michael Havens, AT
• Natasha Anastasia Hawkins
• Sarah Hawkins, OTR/L

• Family Nurse Practitioner in Paragould, AR
• Providers in Paragould, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.