Keaton Makenna Haynes

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

41656 Issued in TX

Practice address

1333 Corporate Dr Ste 330
Irving, TX 75038-2583

Phone

(972) 871-1800

NPI assigned

Mar 11, 2022

Last updated

Mar 11, 2022By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• FST, LLC

  dba First Steps Pediatric Therapy Specialists

  • Home Health Agency
  • Irving, TX
  • NPI 1952602476
  NPD

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1710635594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 ALLEN ST APT 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045784",
            "telephone_number": "940-631-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 CORPORATE DR STE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382583",
            "telephone_number": "972-871-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "KEATON",
        "middle_name": "MAKENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "41656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Havener, DDS
• Chelsea Jean Hawkins, NP-C
• Helen Lynn Hawkins, ARNP
• Gabrielle Hayes, NP
• Gregory Patrick Hayes, MD
• Cody Shade Hays, PA-C
• Paul G Hayter, O.D.
• HCA Healthcare Laboratory Services Irving LLC
• HCA MHT PLLC
• Ming Shuo He, M.D.

• Speech-Language Assistant in Irving, TX
• Providers in Irving, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.