Tanner Haynes

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6911 Shannon Willow Rd Ste 700
Charlotte, NC 28226-1353

Phone

(704) 540-3777

NPI assigned

Feb 3, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Kidspeak Speech and Language Services, Inc.

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1831226745
  NPD
• Kidspeak Management, LLC

  • Hearing and Speech Clinic/Center
  • Charlotte, NC
  • NPI 1003365362
  NPD (past)

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1962216739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 CAYENNE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282140103",
            "telephone_number": "704-517-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 SHANNON WILLOW RD STE 700",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261353",
            "telephone_number": "704-540-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "TANNER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Haynes
• Erin Herrick Haynes, DO
• Haynes, Lissade & Associates, PLLC
• Marybeth Haynes, NP
• Shiwan Danae Haynes
• Tommie Tomika Haynes, MSW, LCAS
• Vicki Maria Haynes, QP
• William Bryce Haynes III, MD
• Angela Wilson Haynie, NP
• Jeanne Sue Haynie, ANP-BC

• Behavior Technician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.