Carmella D Haines, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NUR-RN-LIC-127601 Issued in MT

Practice address

1500 N Beauregard St Ste 110
Alexandria, VA 22311-1715

Phone

(703) 370-9002

NPI assigned

Jul 13, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Nurse Practitioner

Education

Georgetown University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuroscience Consultants PLCGroup PAC ID 3577725282, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neuroscience Consultants, PLC

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Reston, VA
  • NPI 1871508366

  DC

  Medicare reassignment Care Compare group NPD
• NV Healthcare Partners Inc

  • Internal Medicine Physician
  • Alexandria, VA
  • NPI 1003986324

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1346974417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N BEAUREGARD ST STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111715",
            "telephone_number": "703-370-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N BEAUREGARD ST STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111715",
            "telephone_number": "703-370-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "CARMELLA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MT",
            "license": "NUR-RN-LIC-127601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carmellahaines@apc.allscriptsdirect.net",
            "affiliation": "Y",
            "endpointDescription": "EHR direct address",
            "affiliationName": "NV Healthcare Partners Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 N Beauregard St Ste 110",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223111715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanuel Haileab
• Tesfaye Hailemariam, D.D.S.
• Naomi Hailmaskel, OTR/L
• Hailu Tilahun Hailu, M.D.
• Haime LLC
• Mary8 A. Halas, PHD
• Gina Karlin Haldeman, CNM
• Courtney D Hale, LCSW
• Hall Counseling Services, LLC.
• Cenith A. Hall-Tibbs, L.C.S.W.

• Primary Care Nurse Practitioner in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.