Jessica Leigh Haines, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2083 Issued in OK

Practice address

2400 N Highway 66
Ste B
Catoosa, OK 74015-3073

Phone

(918) 266-4433

Fax

(918) 266-4244

NPI assigned

Feb 3, 2012

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

Other identifiers 1

Other names 1

• Jessica L Cole Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jhaines112873@ahs.direct-ci.com

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1366714594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N HIGHWAY 66",
            "address_2": "STE B",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153073",
            "telephone_number": "918-266-4433",
            "fax_number": "918-266-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N HIGHWAY 66",
            "address_2": "STE B",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153073",
            "telephone_number": "918-266-4433",
            "fax_number": "918-266-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200427800A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "COLE",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johnny Ray Green Jr.
• Justin S Green, DPH
• Kathryn Marie Greene, DMD
• Hac Inc
• Timothy Hager, LPC
• Brent Isaac Hall
• Emily H Hambrick
• Scott Hamel, PT
• Magdalena Emilie Harris
• Rachel Michelle Harrison

• Physician Assistant in Catoosa, OK
• Providers in Catoosa, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.