Camille Frederica Haynes, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.027235 Issued in IL

Practice address

11250 S Halsted St
Chicago, IL 60628-4711

Phone

(877) 200-7745

NPI assigned

May 25, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Planned Parenthood of Illinois

  • Clinic/Center
  • Chicago, IL
  • NPI 1093121923
  NPD (past)
• Planned Parenthood of Illinois

  • Clinic/Center
  • Chicago, IL
  • NPI 1205242120
  NPD (past)
• Planned Parenthood of Illinois

  • Clinic/Center
  • Chicago, IL
  • NPI 1790192623
  NPD (past)
• Planned Parenthood of Illinois

  • Clinic/Center
  • Chicago, IL
  • NPI 1790754745
  NPD (past)
• Planned Parenthood of Illinois

  • Clinic/Center
  • Aurora, IL
  • NPI 1831506773
  NPD (past)
• Planned Parenthood of Illinois

  • Clinic/Center
  • Chicago, IL
  • NPI 1841607785
  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1063104065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 S TRUMBULL AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284711",
            "telephone_number": "877-200-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "CAMILLE",
        "middle_name": "FREDERICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.027235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Haynes-Hodgins, OT
• Albert Haynes
• Andrea Nicole Haynes
• Camila Ayanna Leah Haynes, M.D.
• Camille D. Haynes, RN, BSN, MSN, DNP
• Celeste Haynes, LCPC, NCC, BCC, MAC
• Dennis Haynes, LPC
• Erica Haynes
• Gwendolyn Haynes
• Jeffrey Michael Haynes, D.C.

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.