Active NPI
Terri Doreen Haskins, NP (FAMILY NURSE PRA
- Family Nurse Practitioner
- Geneva, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 334820
- Practice address
- 293 West North Street
Geneva, NY 14456-1530 - Phone
- (585) 398-2420
- Fax
- (585) 730-7500
- NPI assigned
- May 2, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F334820-1 | NY | |
| Clinical Nurse Specialist | 364S00000X | 507548 | NY | |
| Family Nurse Practitioner | 363LF0000X | 334820 | NY | Primary |
Addresses
Primary practice location
293 West North Street
Geneva, NY 14456-1530
Mailing address
1445 Portland Avenue
Suite 309
Rochester, NY 14621-3008
Phone (585) 342-2638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02749957 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31 Thurber Dr
Waterloo, NY 13165-1665
Phone (315) 539-1980
Hospital & facility affiliations
- Geneva General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334820 | NY | MD | Family Nurse Practitioner |
| F334820-1 | NY | MD | Family Nurse Practitioner |
| 507548 | NY | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soldiers & Sailors Memorial Hospital | Current | Accepting new patients | |
| Seneca County Treasurer | Current | Accepting new patients | |
| FLH Medical, PC | Current | Accepting new patients | |
| Seneca County Addictions Program | Current | Accepting new patients | |
| FLH Medical, PC | Current | Accepting new patients | |
| Soldiers & Sailors Memorial Hospital | Current | Accepting new patients | |
| Boev Medical, PLLC | Current | Accepting new patients | |
| Boev Medical, PLLC | Current | Accepting new patients |
Locations
8000 Box
Buffalo, NY 14267
Phone (716) 213-0772
821 Pre Emption Rd
Ste 200
Geneva, NY 14456
Phone (315) 325-4422
789 Pre Emption Rd
Ste 600
Geneva, NY 14456
Phone (315) 719-0060
293 W North St
Geneva, NY 14456
Phone (315) 462-3563
196 North St
Geneva, NY 14456
Phone (315) 787-4156
141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000
418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000
1445 Portland Ave
Ste 309
Rochester, NY 14621
Phone (585) 342-2638
31 Thurber Dr
Ste 1
Waterloo, NY 13165
Phone 3155391920 ext. 1975
31 Thurber Dr
Waterloo, NY 13165
Phone (315) 539-1980
Interoperability endpoints
- thaskinsfnpc@medyourway.medentdirect.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Waterloo, NY
- NPI 1689787517
-
- Neurological Surgery Physician
- Rochester, NY
- NPI 1881052546
-
- Family Medicine Physician
- Penn Yan, NY
- NPI 1215174644
-
- Emergency Medicine Physician
- Penn Yan, NY
- NPI 1043353618
-
- Neurological Surgery Physician
- Canandaigua, NY
- NPI 1922503473
-
- Gastroenterology Physician
- Geneva, NY
- NPI 1164766325
-
- Clinic/Center
- Waterloo, NY
- NPI 1295799070
-
- Family Medicine Physician
- Waterloo, NY
- NPI 1972101491
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Geneva, NY
- NPI 1952418352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1689632580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 PORTLAND AVENUE",
"address_2": "SUITE 309",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213008",
"telephone_number": "585-342-2638",
"fax_number": "585-730-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "293 WEST NORTH STREET",
"city": "GENEVA",
"state": "NY",
"postal_code": "144561530",
"telephone_number": "585-398-2420",
"fax_number": "585-730-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKINS",
"first_name": "TERRI",
"middle_name": "DOREEN",
"credential": "NP (FAMILY NURSE PRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F334820-1",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "NY",
"license": "507548",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "334820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02749957",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, NY
- Ashley Harris, FNP
- Todd A. Harry, AUD
- Hartman Hand & Occupational Therapy of Clifton Springs P.C.
- Hartman Hand & Occupational Therapy of Clifton Springs P.C.
- Hartman Hand & Occupational Therapy of Clifton Springs P.C.
- Heidi Anne Haus, CCC-SLP
- Mark R Hedgepeth, LCSW R
- Tracy Heffron, PA
- Sierralynn Marie Helming, PA-C
- Daniela Henderson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.