Individual provider Active NPI

Vermonica Shavette Haynes, RN

  • Registered Nurse
  • Baton Rouge, LA
National Provider Identifier
1851598734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN107608 Issued in LA
Practice address
11628 S Choctaw Dr
Suite 207
Baton Rouge, LA 70815-2107
Phone
(225) 273-6224
Fax
(225) 273-6225
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN107608 LA Primary

Addresses

Primary practice location

11628 S Choctaw Dr
Suite 207
Baton Rouge, LA 70815-2107

Mailing address

1231 Mills Pointe Dr
Zachary, LA 70791-6227
Phone (225) 654-6053

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN107608LAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851598734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 MILLS POINTE DR",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707916227",
            "telephone_number": "225-654-6053",
            "fax_number": "225-273-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11628 S CHOCTAW DR",
            "address_2": "SUITE 207",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708152107",
            "telephone_number": "225-273-6224",
            "fax_number": "225-273-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "VERMONICA",
        "middle_name": "SHAVETTE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN107608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.