Phillip K Haynie, MSN- CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

10379 Issued in TN

Practice address

550 Fort Loudoun Medical Center Drive
Lenoir City, TN 37772-5673

Phone

(865) 777-0909

Fax

(865) 777-0910

NPI assigned

Sep 30, 2005

Last updated

Jan 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in KY, TN, OH, GA4 enrollments

Enrollment records 4

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resource Anesthesia Barrow Inc.Group PAC ID 2769633114, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse, Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Resource Anesthesia Barrow Inc.

  • Certified Registered Nurse Anesthetist
  • Winder, GA
  • NPI 1841546892

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Resource Anesthesia Cumberland Valley Inc

  • Certified Registered Nurse Anesthetist
  • Corbin, KY
  • NPI 1780930743

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Resource Anesthesia Highlands Inc

  • Certified Registered Nurse Anesthetist
  • Hillsboro, OH
  • NPI 1508113903

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Resource Anesthesia, P.C.

  • Certified Registered Nurse Anesthetist
  • Lenoir City, TN
  • NPI 1033162045
  Medicare reassignment Authorized official
• Resource Anesthesia

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1275823049
  Authorized official Same address or phone
• Resource Anesthesia Cumberland Valley Inc.

  • Specialist
  • Knoxville, TN
  • NPI 1992049399
  Authorized official Same address or phone
• Resource Anesthesia East Tennessee

  dba Resource Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Lenoir City, TN
  • NPI 1386988814
  Authorized official Same address or phone
• Resource Anesthesia East Tennessee Inc

  dba Resource Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • La Follette, TN
  • NPI 1033466214
  Authorized official Same address or phone
• Resource Anesthesia East Tennessee Inc

  dba Resource Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Newport, TN
  • NPI 1033466354
  Authorized official Same address or phone
• Resource Anesthesia Kentucky, Inc.

  • Specialist
  • Knoxville, TN
  • NPI 1093059495
  Authorized official Same address or phone
• Resource Anesthesia Lakeway, Inc.

  • Specialist
  • Knoxville, TN
  • NPI 1801130315
  Authorized official Same address or phone
• Anesthesiologists Associated PC

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
  • NPI 1043278443

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1841287224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12752 KINGSTON PIKE",
            "address_2": "STE E202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379340948",
            "telephone_number": "865-777-0909",
            "fax_number": "865-777-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FORT LOUDOUN MEDICAL CENTER DRIVE",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725673",
            "telephone_number": "865-777-0909",
            "fax_number": "865-777-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNIE",
        "first_name": "PHILLIP",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "MSN- CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN134640",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "10379",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "134640",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "621867095003",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74005836",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3630220",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000323889",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TN",
            "identifier": "4022222",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74005844",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KY",
            "identifier": "000000323889",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4022222",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00632195",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200200100A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Wyrick Hartline, CST/CFA
• Georgina Hatfield
• Michelle Hatter, BA, SOCIAL SCIENCE
• David Paul Hawk, DPM
• Kaylyn Hawkins
• Michael Alan Heald, M.D.
• Amanda Helppie, MSPT
• Crystal Dawn Helton, FNP
• Barbara Hernandez Perez, DDS
• Kimberly Griffin Hicks, M.D.

• Certified Registered Nurse Anesthetist in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.

Verify at the official NPI Registry.