Active NPI
Amanda Haynes, LMT
- Massage Therapist
- Effingham, IL
National Provider Identifier
1659106581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227.014198
- Practice address
- 200 S 3Rd St
Effingham, IL 62401-3600 - Phone
- (217) 342-5820
- NPI assigned
- Sep 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227.014198 | IL | Primary |
Addresses
Primary practice location
200 S 3Rd St
Effingham, IL 62401-3600
Mailing address
200 Santa Barbara Dr
Effingham, IL 62401-3002
Phone (217) 343-9571
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227.014198 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1659106581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SANTA BARBARA DR",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624013002",
"telephone_number": "217-343-9571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S 3RD ST",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624013600",
"telephone_number": "217-342-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "AMANDA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227.014198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Effingham, IL
- Debra J Harris, N.P.
- Hunter Lynn Harris, DPT
- Lisa Harris
- Elizabeth Hartke
- Michele K. Hartke, FNP, PMHNP
- Hearing Health Solutions LLC
- Heartland Dental Care of Oh, Richard E Workman, DMD PS
- Heartland Dental Care of TN, PC
- Heartland Dental Care of Virginia, PC
- Heartland Family Dental Care of Missouri - Richard E Workman, DMD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.