Individual provider Active NPI

Monicea M Haynes

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1720552797
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1035819 Issued in TX
Practice address
14141 Southwest Fwy Ste 500
Sugar Land, TX 77478-3494
Phone
(281) 356-0364
NPI assigned
Jan 14, 2019
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F343920-1 NY
Family Nurse Practitioner 363LF0000X 1035819 TX Primary

Addresses

Primary practice location

14141 Southwest Fwy Ste 500
Sugar Land, TX 77478-3494

Mailing address

130 Lenox Ave
New York, NY 10026-2503

Other practice location 1

130 Lenox Ave
New York, NY 10026-2503
Phone (212) 348-2199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210708001218 TX Practitioner - Nurse Practitioner 7719226588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 W Adoue St
Alvin, TX 77511-2718
Phone 28182414801594

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F343920-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Aug 16, 2024 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Nov 14, 2025 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Nov 14, 2025 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Aug 16, 2024 Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

5598 North Fwy
#A1
Houston, TX 77076

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

3021 Texas Pkwy
Missouri City, TX 77489

Interoperability endpoints

  • Direct secure messaging: mhaynes@landmarkhealth-direct.org

Organizations & group practices 4

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": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1720552797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14141 SOUTHWEST FWY STE 500",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783494",
            "telephone_number": "281-356-0364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Lenox Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100262503",
            "country_code": "US",
            "telephone_number": "212-348-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "MONICEA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343920-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1035819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.