Haynes Medical Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12936 Issued in TN

Legal business name

HAYNES MEDICAL CLINIC

Doing business as

Haynes Medical Clinic

Practice address

1009 E Wood St
Paris, TN 38242-4331

Phone

(731) 407-4922

Fax

(731) 407-4920

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Terrie B Haynes Watson, APRN-BC, FNP

Title

Nurse Practitioner

Phone

(731) 407-4922

Specialties & licenses 1

Addresses

Other names 1

• Haynes Medical Clinic Doing business as

Tax ID family

Haynes Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Haynesmedical Clinic

  dba Terrie Haynes

  • Clinic/Center
  • Paris, TN
  • NPI 1144629528
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terrie B Watson, FNP

  • Nurse Practitioner
  • Paris, TN
  • NPI 1851502009

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1396106530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 E WOOD ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424331",
            "telephone_number": "731-407-4922",
            "fax_number": "731-407-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 E WOOD ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424331",
            "telephone_number": "731-407-4922",
            "fax_number": "731-407-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "HAYNES WATSON",
        "authorized_official_first_name": "TERRIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "731-407-4922",
        "authorized_official_credential": "APRN-BC, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haynes Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Joe Harris, ATC
• Harrison Eye Clinic, PC
• Terry Olean Harrison, M.D.
• Missy Dawn Hawks, CSFA
• Lea Ann Hayes, BS
• Haynes Medical Clinic
• Haynesmedical Clinic (Terrie Haynes)
• Shannon Head, RN
• Bayli Phillips Hedge, DDS
• Steven Hedlesky, M.D.

• Family Nurse Practitioner in Paris, TN
• Providers in Paris, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.