Gabrielle Keffer Haynes, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

200943343RN Issued in OR

Practice address

511 SW 10TH Ave Ste 904
Portland, OR 97205-2710

Phone

(503) 221-1870

NPI assigned

Mar 1, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1942956859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 NE HASSALO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 904",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052710",
            "telephone_number": "503-221-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "GABRIELLE",
        "middle_name": "KEFFER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "OR",
            "license": "200943343RN",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OR",
            "license": "200943343RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart F Hayman, CRNFA
• Janice E Haymond, MD
• Ariel Haynes
• Browning Haynes
• Bryanna Haynes, PHARMD
• Julie Marie Haynes, LCSW
• Kristen Elizabeth Haynes
• Molly Jane Haynes, RD, LD
• Payton Alan Haynes, MBA, ATC, OTC
• Wendy Haynes, MA, PHD

• Emergency Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Emergency Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.