Jennifer Jane Haynes-Casey, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN236665 Issued in CA

Practice address

2781 W Ramsey St Ste 3&4
Banning, CA 92220-3700

Phone

(951) 417-6612

NPI assigned

Sep 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Banning, CA
  • NPI 1376293407
  NPD

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1447769765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 LAKESIDE AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922237157",
            "telephone_number": "951-235-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 W RAMSEY ST STE 3&4",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203700",
            "telephone_number": "951-417-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES-CASEY",
        "first_name": "JENNIFER",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN236665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latrice Harris, MFT TRAINEE
• Matthew David Hatch, PA
• Ian McCloud Hathaway
• Hawatmeh Dental Group PC
• Erik Hayes
• Heartland Mercy Care LLC
• Greg Laird Heaston
• Kathleen Dee Heaston
• Amber J Hebb
• Jasmin Hernandez, CADC I

• Licensed Vocational Nurse in Banning, CA
• Providers in Banning, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.