Individual provider Active NPI

Sarah Kiana Haynes, RD, LD

  • Registered Dietitian
  • Laramie, WY
National Provider Identifier
1699300525
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86099423 Issued in CO
Practice address
255 N 30TH St
Laramie, WY 82072-5195
Phone
(307) 755-4461
NPI assigned
Mar 11, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86099423 CO Primary

Addresses

Primary practice location

255 N 30TH St
Laramie, WY 82072-5195

Mailing address

255 N 30TH St
Laramie, WY 82072-5195

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.ivinsonhospital.org/contact IVINSON MEMORIAL HOSPITAL

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

LicenseStateTypeSpecialty
86099423COMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1699300525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725195",
            "telephone_number": "307-755-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "SARAH",
        "middle_name": "KIANA",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "86099423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.ivinsonhospital.org/contact",
            "affiliation": "Y",
            "endpointDescription": "Website",
            "affiliationName": "IVINSON MEMORIAL HOSPITAL",
            "address_1": "255 N 30th St",
            "city": "Laramie",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820725195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.