Justice Merry Lynn Haynes

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

618 S Alder St
Moses Lake, WA 98837-1760

Phone

(509) 764-6644

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

Yes

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.

• Autism Therapy Services of Moses Lake, LLC

  • Community/Behavioral Health Agency
  • Moses Lake, WA
  • NPI 1285170290
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2021.

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1891369161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S BARBARA AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372719",
            "telephone_number": "509-793-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S ALDER ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371760",
            "telephone_number": "509-764-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "JUSTICE",
        "middle_name": "MERRY LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Harris, LMP
• Richard Howell Harrison, O.D.
• Carol Hart
• Gretchen Hart
• Rebecca Hartwell
• Leona M Hays, ARNP
• Cameron Michael Hazelhofer, SLP-CCC
• Healthsource of Moses Lake
• Bailey Jo Heath, L.M.P.
• Hayley Meek Heesemann, MD

• All providers in Moses Lake, WA
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.