Active NPI
Kimberly Kay Haynes, RN, MS, DNP, APR
- Medical-Surgical Clinical Nurse Specialist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- 5374782012
- Practice address
- 10730 Nall Ave Ste 201
Overland Park, KS 66211-1210 - Phone
- (913) 945-7000
- Fax
- (913) 945-9860
- NPI assigned
- Sep 15, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 53-74782-012 | KS | |
| Medical-Surgical Clinical Nurse Specialist | 364SM0705X | 5374782012 | KS | Primary |
Addresses
Primary practice location
10730 Nall Ave Ste 201
Overland Park, KS 66211-1210
Mailing address
10730 Nall Avenue
Suite 201
Overland Park, KS 66211
Phone (913) 945-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10710 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-1227
10720 Nall Ave
University of Kansas Indian Creek Campus
Overland Park, KS 66211-1206
Phone (913) 689-2035
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7743
Hospital & facility affiliations
- University of Kansas Hospital
- LMH
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-74782-012 | KS | MD | Surgical Oncology Physician |
| 5374782012 | KS | MD | Medical-Surgical Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kansas Hospital Authority | Current | Accepting new patients | |
| University of Kansas Hospital Authority | Current | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
10730 Nall Ave
Overland Park, KS 66211
Phone (913) 206-3832
10730 Nall Ave
Ste 201
Overland Park, KS 66211
Phone (913) 945-7000
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Kansas City, KS
- NPI 1528019502
-
- Dentist
- Westwood, KS
- NPI 1295845758
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawrence, KS
- NPI 1508883422
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1497063119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10730 NALL AVENUE",
"address_2": "SUITE 201",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66211",
"telephone_number": "913-945-7000",
"fax_number": "913-645-9860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10730 NALL AVE STE 201",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111210",
"telephone_number": "913-945-7000",
"fax_number": "913-945-9860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "KIMBERLY",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "RN, MS, DNP, APR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "KS",
"license": "53-74782-012",
"primary": false
},
{
"code": "364SM0705X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Medical-Surgical",
"state": "KS",
"license": "5374782012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.