Katherine Ann Haynes, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

095000628RN Issued in OR

Practice address

675 South 14TH Street
Cottage Grove, OR 97424-2776

Phone

(541) 914-1829

Fax

(541) 942-9022

NPI assigned

Sep 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Katie Haynes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1003140195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SOUTH 14TH STREET",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242776",
            "telephone_number": "541-914-1829",
            "fax_number": "541-942-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SOUTH 14TH STREET",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242776",
            "telephone_number": "541-914-1829",
            "fax_number": "541-942-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "095000628RN",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "095000628RN",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500611115",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HAYNES",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael W. Hankins, RPH
• June Harriger
• James F Harrison, M.D.
• Tessa Hart, MED, QMHP
• Tammy Hatling, QMHP
• Claudia Heckathorn, LCSW, CCM
• Naomi Higgs
• Ryan Hirschi
• Irie Hoffman, QMHA
• Jones David Hollister

• Registered Nurse in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.