Anissa Nichelle Haynes, ADMINISTARTOR

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

801 Highway 59 Loop N
Livingston, TX 77351-5704

Phone

(936) 252-2074

NPI assigned

Jun 2, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1780064196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 HIGHWAY 59 LOOP N",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773515704",
            "telephone_number": "936-252-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HIGHWAY 59 LOOP N",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773515704",
            "telephone_number": "936-252-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "ANISSA",
        "middle_name": "NICHELLE",
        "credential": "ADMINISTARTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Faye Harris, MTP
• Kantrell Raishanda Harris, P.A.- C.
• Lewis Leroy Harris, LPC
• Melissa Kay Hartman, MA,CCC-SLP
• Diane Juanita Hawley, R..N.
• Health Center of Southeast Texas
• Jenny Hegedus, P.T.
• Stephan Murray Heinz, M.D.
• Helping Hand Mobility Services
• Terrie Hemphill-Rhodes, MA

• Community Health Worker in Livingston, TX
• Providers in Livingston, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.