Active NPI
Valerie Nicole Haynes, M.A., CCC-SLP
- Speech-Language Pathologist
- Sellersburg, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22004894A
- Practice address
- 7823 Old State Road 60
Sellersburg Health and Rehab Center
Sellersburg, IN 47172 - Phone
- (812) 246-4272
- NPI assigned
- Dec 24, 2009
- Last updated
- Dec 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22004894A | IN | Primary |
Addresses
Primary practice location
7823 Old State Road 60
Sellersburg Health and Rehab Center
Sellersburg, IN 47172
Mailing address
1413 Slate Run Rd.
# 32
New Albany, IN 47150
Phone (812) 698-1630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2715 Charlestown Pike
Jeffersonville, IN 47130-8163
Phone (812) 933-8267
400 Hunter Station Rd
Sellersburg, IN 47172-1072
Phone (866) 360-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Indianapolis, IN
- NPI 1083227169
Speech-Language Pathologist
-
- Physical Therapist
- Jeffersonville, IN
- NPI 1720670649
Speech-Language Pathologist
-
- Physical Therapist
- Indian Harbour Beach, FL
- NPI 1932072030
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261612800000",
"number": "1831428762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 SLATE RUN RD.",
"address_2": "# 32",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "47150",
"telephone_number": "812-698-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7823 OLD STATE ROAD 60",
"address_2": "SELLERSBURG HEALTH AND REHAB CENTER",
"city": "SELLERSBURG",
"state": "IN",
"postal_code": "47172",
"telephone_number": "812-246-4272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "VALERIE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-24",
"last_updated": "2009-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22004894A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sellersburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.