Individual provider Active NPI

Mary Katherine Hayes, MSN, BSN, RN, CPNPPC

  • Pediatric Nurse Practitioner
  • Forney, TX
National Provider Identifier
1760241418
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11031793 Issued in FL
Practice address
757 E US Highway 80 Ste 240
Forney, TX 75126-8701
Phone
(469) 290-4592
Fax
(469) 290-4593
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 11031793 FL Primary

Addresses

Primary practice location

757 E US Highway 80 Ste 240
Forney, TX 75126-8701

Mailing address

757 E US Highway 80 Ste 240
Forney, TX 75126-8701

Other identifiers 2

IdentifierTypeStateIssuer
121880100MedicaidFL
P95VZOtherFLBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhayes@totsnteens.net Direct TOTS N TEENS PEDIATRICS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
11031793FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Service Association Inc Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Tots N Teens Clinics PastSince Sep 28, 2025 Accepting new patients

Locations

12901 Bruce B Downs Blvd
#62
Tampa, FL 33612

Interoperability endpoints

  • Direct secure messaging: mhayes266202@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mhayes799154@direct.childrens.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1760241418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 E US HIGHWAY 80 STE 240",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 E US HIGHWAY 80 STE 240",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268701",
            "telephone_number": "469-290-4592",
            "fax_number": "469-290-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "MARY KATHERINE",
        "credential": "MSN, BSN, RN, CPNPPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11031793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121880100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P95VZ",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhayes@totsnteens.net",
            "affiliation": "Y",
            "endpointDescription": "Protected work email",
            "affiliationName": "TOTS N TEENS PEDIATRICS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1650 Republic Pkwy Ste 120",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751506920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.