Madisonville Pediatrics

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

3005162 Issued in KY

Legal business name

MADISONVILLE PEDIATRICS

Practice address

15 N Harrig St
Madisonville, KY 42431-2123

Phone

(270) 339-3783

NPI assigned

Jul 9, 2014

Last updated

Jul 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Jo Haynie, MSNNPI 1285764829

Title

Owner

Phone

(270) 339-3783

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy J Haynie, APRN

  • Pediatric Nurse Practitioner
  • Madisonville, KY
  • NPI 1285764829

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1326454448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 BELL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312333",
            "telephone_number": "270-339-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N HARRIG ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312123",
            "telephone_number": "270-339-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISONVILLE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "HAYNIE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-339-3783",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3005162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madisonville Discount Eyewear
• Madisonville Emergency Physicians, Inc.
• Madisonville Health and Rehabilitation LLC (Madisonville Health and Rehabilitation)
• Madisonville Heart Consultants, PSC
• Madisonville MRI LLC
• Madisonville Pharmacy Inc
• Madisonville Pharmacy Inc
• Madisonville Rest Home I LLC
• Magnolia Mind and Wellness PLLC
• Michaela Majors

• Pediatric Nurse Practitioner in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Pediatric Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.