Staci Delane Haynes, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

217133 Issued in TX

Practice address

6005 Westview Dr
Houston, TX 77055-5419

Phone

(713) 696-0771

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1225869266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17401 W LAKE HOUSTON PKWY APT 9307",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773465150",
            "telephone_number": "318-505-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 WESTVIEW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770555419",
            "telephone_number": "713-696-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "STACI",
        "middle_name": "DELANE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "LA",
            "license": "334804",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "217133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Haynes
• Melinda Marie Haynes, LPCC
• Preston Haynes
• Reginald Anthony Haynes, ACNP-BC
• Richard Justis Haynes, MD
• Tandra Renette Haynes, M.ED.
• Tiffany Haynes
• Tonya Haynes
• Aisha C Haynie, MD, MPA
• Amanda Jeanne Hays, D.C.

• Occupational Therapy Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.