Ashley O'Barr Haynes, CPNP-AC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APN17068 Issued in TN

Practice address

5705 Uptain Rd
Suite C
Chattanooga, TN 37411-5613

Phone

(423) 266-6918

Fax

(423) 265-0620

NPI assigned

Oct 30, 2012

Last updated

Dec 28, 2016By the provider in NPPES

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1164776126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 UPTAIN RD",
            "address_2": "SUITE C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115613",
            "telephone_number": "423-266-6918",
            "fax_number": "423-265-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 UPTAIN RD",
            "address_2": "SUITE C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115613",
            "telephone_number": "423-266-6918",
            "fax_number": "423-265-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "ASHLEY",
        "middle_name": "O'BARR",
        "name_prefix": "Mrs.",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN17068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Hayes, PA-C
• Mary Haymaker, B.C.B.A.
• Kenneth H. Hayman Jr., M.D.
• Cortney Lauren Haymon-Bevel, MD
• Haynes Therapy Group, LLC
• August Haynes, ATC
• James W. Haynes, M.D.
• Jeffrey L Haynes, D.C.
• Kathryn Elisabeth Haynes, D.C.
• Kristen Haynes, BS

• Pediatric Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.