Kaila Haskins

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5011512 Issued in NC

Practice address

2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614

Phone

(704) 316-4136

Fax

(704) 417-4814

NPI assigned

Aug 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khaskins1021906@direct.novanthealth.org
• Direct secure messaging: khaskins2801247@carolinashealthcaresystem.direct-ci.com

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.

• NH Digital Health Services, LLC

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1427683044
  Medicare reassignment NPD
• Wake Forest Emergency Providers

  • Multi-Specialty Clinic/Center
  • Statesville, NC
  • NPI 1396216735
  Medicare reassignment NPD
• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  Medicare reassignment NPD
• NH Digital Health Services, LLC

  • Family Medicine Physician
  • Manassas, VA
  • NPI 1134734437
  Medicare reassignment NPD
• NH Digital Health Services, LLC

  • Hematology & Oncology Physician
  • Winston Salem, NC
  • NPI 1386506855
  NPD

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1003395948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604042",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604042",
            "telephone_number": "704-316-4136",
            "fax_number": "704-417-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035614",
            "telephone_number": "704-316-4136",
            "fax_number": "704-417-4814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Hospital Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241121927",
            "country_code": "US",
            "telephone_number": "276-403-4733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 T B Stanley Hwy",
            "address_purpose": "LOCATION",
            "city": "Bassett",
            "state": "VA",
            "postal_code": "24055",
            "country_code": "US",
            "telephone_number": "276-629-1076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 T B Stanley Hwy",
            "address_purpose": "LOCATION",
            "city": "Bassett",
            "state": "VA",
            "postal_code": "24055",
            "country_code": "US",
            "telephone_number": "276-629-1076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "27401",
            "country_code": "US",
            "telephone_number": "336-832-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "KAILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024176493",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5011512",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wakehealth.edu",
            "affiliation": "N",
            "endpointDescription": "Wake",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Wake",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Wake baptist",
            "address_1": "1200 N Elm St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Harwell, MS, CCC-SLP
• Allison Noel Harwood
• Elizabeth Ann Harwood, CRNA
• Timothy Neil Harwood, MD
• Amani Hashim
• Maaheen Hasnain, RBT
• Omer Abdelrahim Hassan, M.D
• Heather Carson Hassler
• Rama Hassouneh, DO
• Caitlin Smith Hastings, PHARMD

• Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.