Individual provider Active NPI

Wendy Haynes, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Dansville, NY
National Provider Identifier
1689956849
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021176-1 Issued in NY
Practice address
284 Main St
Dansville, NY 14437-9753
Phone
(585) 335-4030
Fax
(585) 335-4056
NPI assigned
Sep 14, 2011
Last updated
May 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 021176-1 NY Primary

Addresses

Primary practice location

284 Main St
Dansville, NY 14437-9753

Mailing address

284 Main St
Dansville, NY 14437-9753
Phone (585) 335-4030

Other practice location 1

1 College Cir
SUNY Geneseo - Holcomb Building
Geneseo, NY 14454-1401
Phone (585) 658-4023

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
021176-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston County Past Accepting new patients
Dansville Central School District Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1689956849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 MAIN ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379753",
            "telephone_number": "585-335-4030",
            "fax_number": "585-335-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MAIN ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379753",
            "telephone_number": "585-335-4030",
            "fax_number": "585-335-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 College Cir",
            "address_2": "SUNY Geneseo - Holcomb Building",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144541401",
            "country_code": "US",
            "telephone_number": "585-658-4023",
            "fax_number": "585-658-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "WENDY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021176-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dansville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.