STEPHEN LLOYD HAILE


Address: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998
Phone: 4232821480

STEPHEN LLOYD HAILE (NPI# 1114941291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114941291
Entity Type Individual
Full Name STEPHEN LLOYD HAILE
Credential APN
Practice Address 119 Boone Ridge Dr
Suite 201
Johnson City
TN 37615-4998
Practice Telephone 4232821480
Practice Fax Number 4239281353
Mailing Telephone 4232821480
Mailing Fax Number 4239281353
Enumeration Date 2006-07-26
Last Update Date 2016-03-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
APN0000006872 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 3906641 05

Office Location

Street Address 119 BOONE RIDGE DR
SUITE 201
City JOHNSON CITY
State TN
Zip Code 37615-4998

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639161722 Melissa Dawn Venoy Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2005-08-16
1083157788 Amy Hamilton Nurse Practitioner 119 Boone Ridge Dr, Ste 201, Johnson City, TN 37615-8000 2016-11-29
1366992851 Nikki Daniell Vaughn Registered Nurse 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2016-10-07
1790230183 Laura Casey Registered Nurse 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2016-08-16
1104277656 Ipc Pac Healthcare Services of Tennessee PC Psychologist 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2016-06-27
1487008835 Amanda Milan Smith Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2016-04-21
1083084560 Hannah Audia Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2015-09-28
1033593223 Carleen Marie Ogle Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2015-07-17
1104209675 Lindsey Townsend Elswick Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2015-07-02
1811379639 Stacey Hubbard Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2015-06-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568962983 Clayton Kilgore Pharmacist 208 Suncrest St Unit 1, Gray, TN 37615 2018-02-13
1346648268 Jesse Mullins Pharmacist 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 2014-12-09
1750650875 Medical Education Assistance Corporation Pediatrics 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 2011-12-19
1700018603 Anna Lynne Deal Nurse Practitioner 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 2009-08-11
1285876631 Leigh A Furman Occupational Therapist 253 Wiltshire Dr., Gray, TN 37615 2009-04-01
1811098908 Fay Lynn Bembry Nurse Practitioner 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 2006-09-25
1871528976 Boones Creek Medical Pllc Family Medicine 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 2006-07-11
1568402048 Joseph Vincent Pinyard Jr. Family Medicine 880 Boones Station Rd, Johnson City, TN 37615 2006-06-07
1548223084 Pitchar Theerathorn Internal Medicine 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 2006-04-07
1194717157 Susan Kay Pennypacker Nurse Practitioner 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 2005-08-16
Find all providers in zip 37615

Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851452288 Lisa D Blevins Clinical Nurse Specialist 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2006-12-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144734963 La'wanda Y. Jenkins Clinical Nurse Specialist 814 Wren Rd Ste A, Goodlettsville, TN 37072-2312 2017-12-01
1841663705 Rhonda Lou Thompson Clinical Nurse Specialist 1160 Chickadee Cir, Hermitage, TN 37076-5627 2015-11-01
1568691566 Diana C. Baker Clinical Nurse Specialist 5179 Normandy Ln, Memphis, TN 38117-2850 2009-07-11
1689886376 Debra J. Partee Clinical Nurse Specialist 222 Gocchaux Hall, 461 21st Avenue South, Nashville, TN 37240-0001 2007-05-04
1285743286 Lucy Kniseley Clinical Nurse Specialist Student Health Center University of Tn, 1800 Volunteer Blvd, Knoxville, TN 37996-0001 2006-08-30
1376988220 Wendy K Wilson Clinical Nurse Specialist 2011 Ashwood Ave, Nashville, TN 37212-5015 2013-05-06
1144509837 Anita Waid Clinical Nurse Specialist 880 Madison Ave, Memphis, TN 38103-3409 2011-08-11
1114175163 Linda Marie Mcbride Clinical Nurse Specialist 425 5th Ave N, Cordell Hull Building-dmhdd 3rd Floor, Nashville, TN 37243-3400 2008-09-03
1336320886 Minnie Bernice Troupe Clinical Nurse Specialist 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 2007-11-26
1831306562 Susan D. Swanson-moore Clinical Nurse Specialist 300 20th Ave N, 9th Floor, Nashville, TN 37203-2131 2007-05-16
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Competitor

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City JOHNSON CITY
Zip Code 37615

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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