Active NPI
Avis Elaine Haynes, PHD RN CNM FPNP
- Advanced Practice Midwife
- Jackson, MS
National Provider Identifier
1770760688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R537985
- Practice address
- 2500 North State Street
Winfred Wiser Womens Hospital
Jackson, MS 39216 - Phone
- (601) 815-7300
- Fax
- (601) 815-7355
- NPI assigned
- Jan 23, 2008
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R537985 | MS | Primary |
Addresses
Primary practice location
2500 North State Street
Winfred Wiser Womens Hospital
Jackson, MS 39216
Mailing address
2500 N State Street
Univ of Ms Medical Center OB-GYN Dept
Jackson, MS 39216
Phone (601) 815-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife, Family Practice Nurse Practitioner, Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R537985 | MS | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1770760688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE STREET",
"address_2": "UNIV OF MS MEDICAL CENTER OB-GYN DEPT",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-815-7300",
"fax_number": "601-815-7355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NORTH STATE STREET",
"address_2": "WINFRED WISER WOMENS HOSPITAL",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-815-7300",
"fax_number": "601-815-7355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "AVIS",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "PHD RN CNM FPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MS",
"license": "R537985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.