Tammie Haynes, BA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1276 W River St
Boise, ID 83702-7066

Phone

(208) 338-4699

NPI assigned

Dec 7, 2023

Sex

Female

Sole proprietor

No

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.

• Access Behavioral Health Services, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Boise, ID
  • NPI 1962018564
  NPD
• Access Behavioral Health Services

  • Adult Mental Health Clinic/Center
  • Boise, ID
  • NPI 1821376773
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2023.

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1407623598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 W RIVER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 W RIVER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027066",
            "telephone_number": "208-338-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "TAMMIE",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Edward Hayhurst, DMD
• Miriam Baila Hayman, L.AC.
• David Rex Haymore
• Anja Haynes, FNP-C
• Joan Lorraine Haynes, NMD
• Derek D Hayton, DO
• Alexandria Jordan Hazelgrove, NP
• HD Boise Dental, LLC
• Rebecca E Headley, LCSW
• William Headley, LMSW

• All providers in Boise, ID
• Community Health Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.