Individual provider Active NPI

Alexaundria Haynes

  • Licensed Practical Nurse
  • Dallas, TX
National Provider Identifier
1902544802
Registry record updated May 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
1069568 Issued in TX
Practice address
3922 Simpson St
Dallas, TX 75246-1709
Phone
(214) 231-0864
NPI assigned
May 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 1069568 TX Primary

Addresses

Primary practice location

3922 Simpson St
Dallas, TX 75246-1709

Mailing address

4721 Samuell Blvd Apt 307
Mesquite, TX 75149-1070
Phone (214) 399-0767

Other practice location 1

4721 Samuell Blvd Apt 307
Mesquite, TX 75149-1070
Phone (214) 399-0767

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

State licenses

LicenseStateTypeSpecialty
1069568TXMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1653177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653177600000",
    "number": "1902544802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 SAMUELL BLVD APT 307",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491070",
            "telephone_number": "214-399-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 SIMPSON ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461709",
            "telephone_number": "214-231-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4721 Samuell Blvd Apt 307",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751491070",
            "country_code": "US",
            "telephone_number": "214-399-0767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "ALEXAUNDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-22",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "1069568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; 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.