Active NPI
Kyle Robert Haines, LPN
- Licensed Practical Nurse
- Winter Garden, FL
National Provider Identifier
1487234613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5239135
- Practice address
- 10196 Storey Grove Way
Winter Garden, FL 34787-0086 - Phone
- (601) 448-9675
- NPI assigned
- Apr 12, 2021
- Last updated
- Apr 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5239135 | FL | Primary |
| Health Educator | 174H00000X | NU | ||
| Health & Wellness Coach | 171400000X | NU |
Addresses
Primary practice location
10196 Storey Grove Way
Winter Garden, FL 34787-0086
Mailing address
10196 Storey Grove Way
Winter Garden, FL 34787-0086
Phone (601) 448-9675
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 |
|---|---|---|---|
| PN5239135 | FL | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The I.V. Medics, LLC | Licensed Practical Nurse | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Licensed Practical Nurse
- Orlando, FL
- NPI 1598362410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1487234613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10196 STOREY GROVE WAY",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347870086",
"telephone_number": "601-448-9675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10196 STOREY GROVE WAY",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347870086",
"telephone_number": "601-448-9675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "KYLE",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-12",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5239135",
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
- Rheya Evelyn Guptar, MHS, OTR/L
- Janet Talavera Gussow, COTA
- Sarimar Guzman Hernandez
- H.O.P.E. Counseling & Associates
- Amir Hadanny, MD PHD
- Karen Marie Haire
- Hamlin Chiropractic, LLC (Hamlin Chiropractic)
- Hamlin Eye Care, LLC
- Hamlin Family Dentistry, Inc (Hamlin Pediatric Dentistry)
- Hamlin Modern Dentistry, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.