Amy E Haines, ATCL

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2002005841 Issued in MO

Practice address

One University Ave
Fulton, MO 65251-2388

Phone

(573) 592-4388

Fax

(573) 592-4386

NPI assigned

Jan 31, 2008

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• William Woods University Athletic Training Services

  • Athletic Trainer
  • Fulton, MO
  • NPI 1114105327
  NPD (past) Authorized official

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1801074984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE UNIVERSITY AVE",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512388",
            "telephone_number": "573-592-4388",
            "fax_number": "573-592-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE UNIVERSITY AVE",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512388",
            "telephone_number": "573-592-4388",
            "fax_number": "573-592-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "AMY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "ATCL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2002005841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Gragg
• Alexandra Gray
• Treysen Charles Edward Gray
• Amy K Green, D.C.
• Mike Gregory, RPH
• Michelle Hans
• Karl David Harmston Sr., D.O.
• Elizabeth Ann Harris, SLPA
• Alexis Jordan Hassler, MAT, LAT, ATC
• Barbara Jean Hauck, R. PH.

• Athletic Trainer in Fulton, MO
• Providers in Fulton, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.