Individual provider Active NPI

Haiyden Faith Stubblefield

  • Family Nurse Practitioner
  • Fort Payne, AL
National Provider Identifier
1982368049
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-169815 Issued in AL
Practice address
212 Airport Rd W
Fort Payne, AL 35968-3335
Phone
(256) 979-1250
Fax
(256) 979-1251
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 1-169815 AL Primary
Registered Nurse 163W00000X 1-169815 AL

Addresses

Primary practice location

212 Airport Rd W
Fort Payne, AL 35968-3335

Mailing address

212 Airport Rd W
Fort Payne, AL 35968-3335
Phone (256) 979-1250

Other names 1

  • Haiyden Faith Dobbs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240410000513 AL Practitioner - Nurse Practitioner 9739527706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Renew Family Dermatology LLCGroup PAC ID 2466789839, 6 clinicians

Practice addresses (Care Compare)

212 Airport Rd W
Fort Payne, AL 35968-3335
Phone (256) 979-1250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-169815ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Family Dermatology LLC Multi-Specialty CurrentSince Jan 16, 2025 Accepting new patients

Locations

212 Airport Rd W
Fort Payne, AL 35968
Phone (256) 979-1250

Interoperability endpoints

  • Direct secure messaging: hstubblenp@renewfamilyderm.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1982368049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 AIRPORT RD W",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683335",
            "telephone_number": "256-979-1250",
            "fax_number": "256-979-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 AIRPORT RD W",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683335",
            "telephone_number": "256-979-1250",
            "fax_number": "256-979-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBLEFIELD",
        "first_name": "HAIYDEN",
        "middle_name": "FAITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-169815",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-169815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAIYDEN",
            "last_name": "DOBBS",
            "middle_name": "FAITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.