Individual provider Active NPI

Alice K. Haynes, ANP-BC

  • Nurse Practitioner
  • North Dartmouth, MA
National Provider Identifier
1952315897
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN00590 Issued in RI
Practice address
368 Faunce Corner Road
North Dartmouth, MA 02747-1271
Phone
(508) 985-5014
Fax
(508) 985-5045
NPI assigned
Jul 28, 2006
Last updated
May 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN00590 RI Primary

Addresses

Primary practice location

368 Faunce Corner Road
North Dartmouth, MA 02747-1271

Mailing address

200 Mill Rd
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other identifiers 9

IdentifierTypeStateIssuer
1952315897OtherRINPI
500020184OtherRIRAILROAD MEDICARE
400771OtherRIBCBSRI
939025129OtherRIRI MEDICARE GROUP NUMBER
007009188OtherRIRI MEDICARE
12/14/2006OtherRINHPRI
0377040MedicaidMA
30334-5OtherRIBLUECHIP
7009188MedicaidRI

Other names 1

  • Alice Platt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000117 RI Practitioner - Nurse Practitioner 7618134404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes and Endocrinology Associates, Inc.Group PAC ID 0749281087, 5 clinicians

Practice addresses (Care Compare)

100 Highland Ave
Suite 203
Providence, RI 02906-2752
Phone (401) 351-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.15 of 100Reported as group
Quality
61.74
Improvement activities
40
Cost
81.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Endocrinology Associates, Inc. CurrentSince Aug 1, 2020 Accepting new patients

Locations

100 Highland Ave
Ste 203
Providence, RI 02906
Phone (401) 351-7100

400 Bald Hill Rd
Warwick, RI 02886
Phone (401) 352-0005

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1952315897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "address_2": "SUITE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 FAUNCE CORNER ROAD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471271",
            "telephone_number": "508-985-5014",
            "fax_number": "508-985-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "ALICE",
        "middle_name": "K.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN00590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952315897",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500020184",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI",
            "identifier": "400771",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI MEDICARE GROUP NUMBER",
            "identifier": "939025129",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI MEDICARE",
            "identifier": "007009188",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHPRI",
            "identifier": "12/14/2006",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0377040",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "30334-5",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7009188",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "PLATT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.