Kimberly Lynn Haynes

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

578162 Issued in TX

Practice address

374 Maxey Rd
Longview, TX 75605-8247

Phone

(903) 452-3967

NPI assigned

Mar 15, 2018

Last updated

Mar 15, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1619470648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 MAXEY RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756058247",
            "telephone_number": "903-452-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 MAXEY RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756058247",
            "telephone_number": "903-452-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "578162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hawner Plastic Surgery Associates
• Philip P Hawner, M.D.
• Hannah Hayden
• Mark Hayes, LMFT
• Bryan L Haygood, R.PH.
• Jami Elizabeth Hays, AGACNP-BC
• Janet Hays
• Sue Jane Haywood, P.T.
• Caroline Summersgill Hazlett
• HBMD Consulting LLC

• Registered Nurse in Longview, TX
• Providers in Longview, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.