Individual provider Active NPI

Carole Anne Haynes

  • Licensed Practical Nurse
  • Auburn, NY
National Provider Identifier
1538629167
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
311765 Issued in NY
Practice address
26 Florence St
Auburn, NY 13021-4902
Phone
(315) 246-4664
NPI assigned
Mar 20, 2019
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 311765 NY Primary

Addresses

Primary practice location

26 Florence St
Auburn, NY 13021-4902

Mailing address

26 Florence St
Auburn, NY 13021-4902
Phone (315) 246-4664

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL sing4him2011@hotmail.com

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1538629167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FLORENCE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214902",
            "telephone_number": "315-246-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 FLORENCE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214902",
            "telephone_number": "315-246-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "CAROLE",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "311765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sing4him2011@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "26 Florence St",
            "city": "Auburn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130214902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.