Letha Haynes

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

RT0004241 Issued in LA

Practice address

948 Cambridge Dr Ste 102
La Place, LA 70068-3647

Phone

(985) 652-7717

NPI assigned

Nov 18, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pelican Clinic LLC

  • Adult Medicine Physician
  • La Place, LA
  • NPI 1740553569
  NPD Authorized official
• Pelican Healthcare Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • La Place, LA
  • NPI 1518076629
  NPD Authorized official
• Pelican Medical Clinic LLC

  • Family Medicine Physician
  • La Place, LA
  • NPI 1205230760
  NPD (past) Authorized official

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1104193176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 CAMBRIDGE DR STE 102",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683647",
            "telephone_number": "954-492-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 CAMBRIDGE DR STE 102",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683647",
            "telephone_number": "985-652-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "LETHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "RT0004241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138910",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Mae Harris, LCSW
• Joanna Hastings, MS-CCC-SLP
• Penny Hawkes III
• Caylin Kenyatta Hayes
• Latonia Haynes
• Cecilia Hazard, DDS
• Healing Hands Staffing
• Carolyn Heard
• Hearts of Joy Healthcare Services LLC
• Brittany Hebert-Bailey, FNP

• Allergy & Immunology Physician in La Place, LA
• Providers in La Place, LA by specialty
• Allergy & Immunology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.