Active NPI
Jason Richard Haynes
- Non-emergency Medical Transport (VAN)
- Jasper, AL
National Provider Identifier
1366968083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 137 Old Settlement Rd
Jasper, AL 35501-7650 - Phone
- (205) 522-4425
- Fax
- (205) 387-8589
- NPI assigned
- Aug 15, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
137 Old Settlement Rd
Jasper, AL 35501-7650
Mailing address
137 Old Settlement Rd
Jasper, AL 35501-7650
Phone (205) 522-4425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366968083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 OLD SETTLEMENT RD",
"city": "JASPER",
"state": "AL",
"postal_code": "355017650",
"telephone_number": "205-522-4425",
"fax_number": "205-387-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 OLD SETTLEMENT RD",
"city": "JASPER",
"state": "AL",
"postal_code": "355017650",
"telephone_number": "205-522-4425",
"fax_number": "205-387-8589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "JASON",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.