Active NPI
Lauren S Haynie, ATC
- Athletic Trainer
- Washington, DC
National Provider Identifier
1659320232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1662
- Practice address
- 620 Michigan Ave NE
108 Dufour Center
Washington, DC 20064-0001 - Phone
- (202) 319-6049
- Fax
- (202) 319-4752
- NPI assigned
- May 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1662 | MA | Primary |
Addresses
Primary practice location
620 Michigan Ave NE
108 Dufour Center
Washington, DC 20064-0001
Mailing address
2349 Hazelwood CT
Waldorf, MD 20601-4538
Phone (301) 638-3097
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 |
|---|---|---|---|
| 1662 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229299200000",
"number": "1659320232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2349 HAZELWOOD CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206014538",
"telephone_number": "301-638-3097",
"fax_number": "202-319-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 MICHIGAN AVE NE",
"address_2": "108 DUFOUR CENTER",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200640001",
"telephone_number": "202-319-6049",
"fax_number": "202-319-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNIE",
"first_name": "LAUREN",
"middle_name": "S",
"name_prefix": "Miss",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2008-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "1662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.