Individual provider Active NPI

Jessica Audrey Haynie, CRNP

  • Family Nurse Practitioner
  • Opelika, AL
National Provider Identifier
1316399108
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-130931 Issued in AL
Practice address
2609 Village Prof. Dr.
Suite 3
Opelika, AL 36801
Phone
(334) 749-6523
Fax
(334) 742-0242
NPI assigned
Jul 6, 2016
Last updated
Jul 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-130931 AL Primary

Addresses

Primary practice location

2609 Village Prof. Dr.
Suite 3
Opelika, AL 36801

Mailing address

2609 Village Prof. Dr.
Suite 3
Opelika, AL 36801
Phone (334) 749-6523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170202001126 AL Practitioner - Nurse Practitioner 1850674631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hypertension and NephrologyGroup PAC ID 3971529793, 9 clinicians

Practice addresses (Care Compare)

121 N 20TH St
Suite 20a
Opelika, AL 36801-5456
Phone (334) 749-6523

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hypertension & Nephrology CurrentSince Nov 14, 2016 Accepting new patients

Locations

52 Water Works Rd
Dadeville, AL 36853
Phone (256) 825-2740

121 N 20th St
Ste 20A
Opelika, AL 36801
Phone (334) 749-1268

802 E Martin Luther King Hwy
Tuskegee, AL 36083
Phone (334) 727-9447

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25334/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jhaynie65504@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1316399108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 VILLAGE PROF. DR.",
            "address_2": "SUITE 3",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "36801",
            "telephone_number": "334-749-6523",
            "fax_number": "334-742-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 VILLAGE PROF. DR.",
            "address_2": "SUITE 3",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "36801",
            "telephone_number": "334-749-6523",
            "fax_number": "334-742-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNIE",
        "first_name": "JESSICA",
        "middle_name": "AUDREY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-130931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.