Active NPI
Nautica Renee Haynes
- Home Health Aide
- Canton, OH
National Provider Identifier
1417520297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 6570 Palmer Dr NW Apt 6
Canton, OH 44718-1069 - Phone
- (330) 245-8326
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
6570 Palmer Dr NW Apt 6
Canton, OH 44718-1069
Mailing address
6570 Palmer Dr NW Apt 6
Canton, OH 44718-1069
Phone (330) 245-8326
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Nauticah00@gmail.com | Direct |
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": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1417520297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6570 PALMER DR NW APT 6",
"city": "CANTON",
"state": "OH",
"postal_code": "447181069",
"telephone_number": "330-245-8326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6570 PALMER DR NW APT 6",
"city": "CANTON",
"state": "OH",
"postal_code": "447181069",
"telephone_number": "330-245-8326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "NAUTICA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-20",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Nauticah00@gmail.com",
"affiliation": "N",
"endpointDescription": "Email account",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6570 Palmer Dr NW Apt 6",
"city": "Canton",
"state": "OH",
"country_code": "US",
"postal_code": "447181069",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.