Tara Haynes-Herbert, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

017428 Issued in NY

Practice address

3775 Seneca St
West Seneca, NY 14224-3434

Phone

(716) 712-0890

Fax

(716) 712-0933

NPI assigned

Mar 17, 2014

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)

Enrolled

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1659797447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-218-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243434",
            "telephone_number": "716-712-0890",
            "fax_number": "716-712-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES-HERBERT",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay T Hassenfratz, DPM
• Kayci Hauser
• Kelly Ann Hauser, R.N.
• Andrea Hayday
• Margaret M Hayek, RN
• Delores Ann Hazelton
• Karen Marie Healy
• Heather Zukowski, LCSW, PLLC
• Kellie E Heftka, PA
• Catherine M Heimback-Murdie, LCSW-R

• Physician Assistant in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.