Individual provider Active NPI

Katie Haines, FNP-C

  • Family Nurse Practitioner
  • Liberty Hill, TX
National Provider Identifier
1083341523
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1089193 Issued in TX
Practice address
12701 W State Highway 29 Ste 5
Liberty Hill, TX 78642-6348
Phone
(512) 548-5373
NPI assigned
Aug 4, 2022
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1089193 TX Primary

Addresses

Primary practice location

12701 W State Highway 29 Ste 5
Liberty Hill, TX 78642-6348

Mailing address

12701 W State Highway 29 Ste 5
Liberty Hill, TX 78642-6348
Phone (512) 548-5373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220831002961 TX Practitioner - Nurse Practitioner 2769866300 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services TX PLLCGroup PAC ID 6507173291, 103 clinicians
Curana Health Medical Group LLCGroup PAC ID 9133304603, 132 clinicians

Practice addresses (Care Compare)

2802 Flintrock Trce
Suite 201
Austin, TX 78738-1744
Phone (337) 991-9276

8911 N Capital of Texas Hwy
Suite 1110
Austin, TX 78759-7203
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaela Thurman NP & Associate PLLC CurrentSince Aug 15, 2022 Accepting new patients

Locations

12635 W State Highway 29
Liberty Hill, TX 78642
Phone (512) 548-5373

12701 W State Highway 29
Ste 1
Liberty Hill, TX 78642
Phone (512) 548-5373

12701 W State Highway 29
Ste 5
Liberty Hill, TX 78642
Phone (512) 548-5373

Interoperability endpoints

  • Direct secure messaging: katie.haines@293906501009412.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1083341523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 W STATE HIGHWAY 29 STE 5",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426348",
            "telephone_number": "512-548-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 W STATE HIGHWAY 29 STE 5",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426348",
            "telephone_number": "512-548-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "KATIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1089193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

Verify at the official NPI Registry.