Willaim J. Haynes, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT129 Issued in AR

Practice address

501 N Hervey St
Attn: Michael a. Smith
Hope, AR 71801-3435

Phone

(870) 777-6798

Fax

(870) 777-6880

NPI assigned

Oct 13, 2005

Sex

Male

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

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235128166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 ROSSTON RD",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718572533",
            "telephone_number": "870-887-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N HERVEY ST",
            "address_2": "ATTN: MICHAEL A. SMITH",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718013435",
            "telephone_number": "870-777-6798",
            "fax_number": "870-777-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "WILLAIM",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER LIC.",
            "identifier": "AT129",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Hardy, COTA
• Emily Lauren Harper, LPTA
• Willie Terence Harris
• Robert Nicholas Harvey
• Haynes Sports Therapy and Rehab, Inc.
• Kristi Hays
• Heather Manor Care Center Inc
• Chassity Tennille Hemmitt
• Hemp Health, LLC
• Hempstead County Health Department

• Athletic Trainer in Hope, AR
• Providers in Hope, AR by specialty
• Athletic Trainer in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.