Timothy Hayes, ADMINISTRATOR

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

CSS0800 Issued in OK

Practice address

4515 E 53Rd St # 132
Tulsa, OK 74135-4050

Phone

(918) 430-3088

NPI assigned

Jul 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1366015216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 E 53RD ST # 132",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354050",
            "telephone_number": "918-430-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 E 53RD ST # 132",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354050",
            "telephone_number": "918-430-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "TIMOTHY",
        "credential": "ADMINISTRATOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OK",
            "license": "CSS0800",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "OK",
            "license": "CSS0800",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "OK",
            "license": "CSS0800",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "CSS0800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina D Hayes, APRN
• Patrick Kevin Hayes, DPH
• Rashauna Renee' Hayes, CNA, CMA, CHHA
• Shannan Demitria Renea Hayes
• Sharon F Hayes, PHARM D.
• Miles Haygarth, DPT
• Joan Soo Hayhurst, LPC
• Melissa Kathleen Hayhurst
• Hayden Scott Haynes
• Trevaughn Haynes

• Home Health Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.