Active NPI
Sandra Melissa Haire, PTA
- Physical Disabilities Residential Treatment Facility
- Amarillo, TX
National Provider Identifier
1437326212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 2049197
- Practice address
- 7716 White Plains
Amarillo, TX 79121 - Phone
- (806) 358-6164
- NPI assigned
- May 12, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 2049197 | TX | Primary |
Addresses
Primary practice location
7716 White Plains
Amarillo, TX 79121
Mailing address
7716 White Plains
Amarillo, TX 79121
Phone (806) 358-6164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2049197 | Other | TX | LICENSE FOR PT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2049197 | TX | MD | Physical Disabilities Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1437326212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7716 WHITE PLAINS",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79121",
"telephone_number": "806-358-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7716 WHITE PLAINS",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79121",
"telephone_number": "806-358-6164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIRE",
"first_name": "SANDRA",
"middle_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "TX",
"license": "2049197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE FOR PT",
"identifier": "2049197",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.