Individual provider Active NPI

Rachel Irene Haynes, CPNP, DNP

  • Pediatric Nurse Practitioner
  • Atascadero, CA
National Provider Identifier
1710280409
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
14788 Issued in CA
Practice address
7700 Morro Rd
Atascadero, CA 93422-4435
Phone
(805) 466-6622
Fax
(805) 466-6622
NPI assigned
Dec 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 14788 CA Primary

Addresses

Primary practice location

7700 Morro Rd
Atascadero, CA 93422-4435

Mailing address

7700 Morro Rd
Atascadero, CA 93422-4435

Other practice location 1

2 James Way Ste 209
Pismo Beach, CA 93449-4976
Phone (805) 739-3924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829002690 CA Practitioner - Nurse Practitioner 8426489923 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Oct 29, 2024 Accepting new patients
Community Health Centers of the Central Coast, Inc CurrentSince Jul 11, 2022 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Bass Medical Group CurrentSince Oct 29, 2024 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Jul 11, 2022 Accepting new patients
Rocky Mountain Youth Medical & Nursing Consultants Inc Pediatrics Current Accepting new patients
Bass Medical Group Past Accepting new patients
Patterson and Tedford Pediatrics, a California Medical Corp Past Accepting new patients
Bass Medical Group Past Accepting new patients
Kids First Health Care PastSince Dec 1, 2020 Accepting new patients

Locations

7700 Morro Rd
Atascadero, CA 93422
Phone (805) 466-6622

4723 W Main St
Ste H
Guadalupe, CA 93434
Phone (805) 343-2004

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014

430 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8900

2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200

2415 E Main St
Ventura, CA 93003
Phone (805) 454-7133

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rachel.haynes@corhio.medicity.net
  • Direct secure messaging: rachel.haynes.1@25176.direct.athenahealth.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1292630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1710280409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224435",
            "telephone_number": "805-466-6622",
            "fax_number": "805-466-6622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 James Way Ste 209",
            "address_purpose": "LOCATION",
            "city": "Pismo Beach",
            "state": "CA",
            "postal_code": "934494976",
            "country_code": "US",
            "telephone_number": "805-739-3924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "RACHEL",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "CPNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-18",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "14788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.