Vicki Marie Haines

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60211812 Issued in WA

Practice address

9221 Sandifur Pkwy Ste a
Pasco, WA 99301-9241

Phone

(509) 233-7546

Fax

(509) 795-3508

NPI assigned

Mar 14, 2011

Last updated

Mar 7, 2023By 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

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atomic Dermatology LLCGroup PAC ID 3678849155, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

73 of 100Reported as group

Quality

100

Improvement activities

40

Cost

10

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Atomic Dermatology LLC

  • Nurse Practitioner
  • Pasco, WA
  • NPI 1770009706
  Medicare reassignment Care Compare group Authorized official
• Atomic2 Dermatology PLLC

  dba Atomic Dermatology

  • Nurse Practitioner
  • Walla Walla, WA
  • NPI 1891363719
  Medicare reassignment NPD
• Atomic Wellness

  • Nurse Practitioner
  • Pasco, WA
  • NPI 1932906013
  Authorized official Same address or phone
• Center for Excellence in Dermatology PLLC

  • Specialist
  • Hermiston, OR
  • NPI 1093061806
  NPD (past)

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720386808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 SANDIFUR PKWY STE A",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019241",
            "telephone_number": "509-233-7546",
            "fax_number": "509-795-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 SANDIFUR PKWY STE A",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019241",
            "telephone_number": "509-233-7546",
            "fax_number": "509-795-3508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993622848",
            "country_code": "US",
            "telephone_number": "509-240-2554",
            "fax_number": "509-492-5527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAINES",
        "first_name": "VICKI",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60211812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva M Guzman Reyes, RN
• Elisa Danielle Guzman, PHARMD
• Hector Bobby Guzman, CDP
• Erin Gwinn
• Rana Y Haddadin, DDS
• Stanley E Hales, M.D.
• Mary Handley, OCCUPATIONAL THERAPI
• Hansen Family Dental PLLC
• James R Hansen, D.M.D.
• William Henry Hanson, PA-C, DPM

• Nurse Practitioner in Pasco, WA
• Providers in Pasco, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.