Active NPI
Mary Katherine Hayes, MSN, BSN, RN, CPNPPC
- Pediatric Nurse Practitioner
- Forney, TX
National Provider Identifier
1760241418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 11031793
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121880100 | Medicaid | FL | |
| P95VZ | Other | FL | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11031793 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Tots N Teens Clinics | Past | Accepting new patients |
Locations
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
Interoperability endpoints
- mhayes266202@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- mhayes799154@direct.childrens.com
- 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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Pediatric Sleep Medicine Physician
- Mesquite, TX
- NPI 1285942920
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.