Katie Haynes

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

KATIE HAYNES

Practice address

4123 Whiting Dr SE
St Petersburg, FL 33705-4061

Phone

(727) 276-2515

NPI assigned

Oct 9, 2018

Organization subpart

No

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

Authorized official

Name

Katie Haynes

Title

Owner Caregiver

Phone

(727) 276-2515

Specialties & licenses 1

Addresses

Other names 1

• Katie Haynes Other name

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1649745399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 WHITING DR SE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337054061",
            "telephone_number": "727-276-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 WHITING DR SE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337054061",
            "telephone_number": "727-276-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE HAYNES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER CAREGIVER",
        "authorized_official_telephone_number": "727-276-2515"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katie Haynes",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lawrence G. Kass, M.D.
• Douglas Neil Kassan, PHARMACIST
• Katarzyna M. Ostrzenska M.D. PA
• Katherine McKay, PH.D., LLC
• Katie Carpenter Physical Therapy LLC
• Katie PT, PLLC
• Jasmina Katinic
• Josip Katinic, ARNP-C
• Latrel Kato, RBT
• Kiesha Marie Katsares, ARNP

• Adult Care Home Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.