Active NPI
Amy E Haines, AU.D.
- Audiologist
- Mission Viejo, CA
National Provider Identifier
1114105913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU1752
- Practice address
- 27285 Las Ramblas
Suite 150
Mission Viejo, CA 92691-6325 - Phone
- (800) 675-5485
- Fax
- (949) 348-0219
- NPI assigned
- Feb 4, 2008
- Last updated
- Feb 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU1752 | CA | Primary |
Addresses
Primary practice location
27285 Las Ramblas
Suite 150
Mission Viejo, CA 92691-6325
Mailing address
23 Calle la Espalda
San Clemente, CA 92673-7020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU1752 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
Organizations & group practices 6
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": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1114105913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CALLE LA ESPALDA",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926737020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27285 LAS RAMBLAS",
"address_2": "SUITE 150",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916325",
"telephone_number": "800-675-5485",
"fax_number": "949-348-0219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "AMY",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-04",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
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- Ashkan Haeri, DMD
- Laqeishia Sharrice Hagans, EDD
- Dennis P Haghighat, M.D.
- Tatiana Kathleen Hajou, FNP-BC
- Rashelle Rentya Hakak, M.A
- Johannah Gail Hale, NP
- Hamid Fadavi DO Inc
- Hamid R Salehi MD a Professional Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.