Davidetta Noody Haynes

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

323051461119 Issued in OH

Practice address

23434 Olmsted Dr
North Olmsted, OH 44070-1420

Phone

(609) 418-1994

NPI assigned

Jul 17, 2025

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1578455176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23434 OLMSTED DR",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440701420",
            "telephone_number": "609-418-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23434 OLMSTED DR",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440701420",
            "telephone_number": "609-418-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "DAVIDETTA",
        "middle_name": "NOODY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "323051461119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Husam Hassouneh, RPH
• Carol L Hauer
• Nicole M Haun, PT
• Tiffany Ann Hauser
• Kristine Hawke, MA, CCC-SLP
• Erika Hays, ED.S.
• Healing Harbor LLC
• Healing Path Wound Care
• Health Care Solutions at Home Inc.
• Health Express Physical Therapy Centers LLC

• Nurse's Aide in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.