Julianne Brielle Haynes, M.C.D.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8415 Issued in LA

Practice address

1950 E 70TH St Ste a
Shreveport, LA 71105-5345

Phone

(318) 219-6064

NPI assigned

Aug 1, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Jeter Speech Language Pathology Services, LLC

  dba Jeter Therapy Group

  • Speech-Language Pathologist
  • Shreveport, LA
  • NPI 1851924237
  NPD

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1356995849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 E ELMWOOD ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711044529",
            "telephone_number": "318-469-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E 70TH ST STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055345",
            "telephone_number": "318-219-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "JULIANNE",
        "middle_name": "BRIELLE",
        "name_prefix": "Mrs.",
        "credential": "M.C.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Shreveport",
            "affiliation": "N",
            "address_1": "1950 E 70th St Ste A",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711055345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shaniece Hayes
• Sparkel Laterrica Hayes
• Tiajuana Lynne Haygood-Kane, DO
• Andrew T Haynes, MD
• John D Haynes, MD
• Monica L Haynes, M.D.
• Thomas D Haynes, RPH
• Amanda Vice Haynie, M.D.
• Amber Haynie
• Caroline King Haynie, DDS

• Speech-Language Pathologist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.