Susan Craig Haynes, A.P.N.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

570847 Issued in TX

Practice address

3215 Steck Ave
Suite 200
Austin, TX 78757-7566

Phone

(512) 476-3556

Fax

(512) 476-0195

NPI assigned

Jun 29, 2005

Last updated

Jun 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Susan Allen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Austin Mind Care PLLC

  • Clinical Nurse Specialist
  • Austin, TX
  • NPI 1811872344
  NPD (past)
• George R Robison MD PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1275697062
  NPD (past)
• Senior Adults Specialty Healthcare PA

  • Geriatric Psychiatry Physician
  • Austin, TX
  • NPI 1639170541

  Nurse Practitioner

  NPD (past)
• Whiteglove Medical Care - NJ, PC

  • Nurse Practitioner
  • Newark, NJ
  • NPI 1659730984
  NPD (past)

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1922005545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 STECK AVE",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577566",
            "telephone_number": "512-476-3556",
            "fax_number": "512-476-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 STECK AVE",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577566",
            "telephone_number": "512-476-3556",
            "fax_number": "512-476-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "SUSAN",
        "middle_name": "CRAIG",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-29",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "570847",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "570847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928954-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ALLEN",
            "credential": "A.P.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marvi Arredondo Haynes, LMFT-A
• Megan Christelle Haynes, M.S., CCC-SLP
• Nichelle Haynes, D.O.
• Pamela Haynes, LCSW
• Shaunice Haynes
• Hays Medical Supply LLC Judson Sturdivant Sole MBR (Parkcrest Medical Supply)
• Hays Medical Supply LLC Judson Sturdivant Sole MBR (The Sleep Center Of Austin)
• Amanda Hays, MS, RDN, LD
• Amy Arendell Hays, LCSW
• Christie Bryan Hays, MA, LPC-INTERN

• Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.