Active NPI
Rebecca Nealey Haynes, M.S. CCC-SLP
- Speech-Language Pathologist
- Southlake, TX
National Provider Identifier
1972749083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 19675
- Practice address
- 101 Watermere Dr
Southlake, TX 76092-8116 - Phone
- (817) 437-8668
- Fax
- (817) 337-7622
- NPI assigned
- Dec 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 19675 | TX | Primary |
Addresses
Primary practice location
101 Watermere Dr
Southlake, TX 76092-8116
Mailing address
101 Watermere Dr
Southlake, TX 76092-8116
Phone (817) 437-8668
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19675 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229558400000",
"number": "1972749083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WATERMERE DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760928116",
"telephone_number": "817-437-8668",
"fax_number": "817-337-7622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WATERMERE DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760928116",
"telephone_number": "817-437-8668",
"fax_number": "817-337-7622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "REBECCA",
"middle_name": "NEALEY",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-18",
"last_updated": "2008-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "19675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
- Michelle Hatley, PT
- Regan Marie Hatwig
- Haylee Rebecca Hauser, PA-C
- Haven Dental of Southlake, PLLC
- Carter Hayes, DDS
- HCS Services of Texas, Inc. (HCS Services of Texas)
- Healing Care Hospice Inc
- Health Imaging Partners, LLC (Dba Envision Imaging at South Lake)
- Health Matters Primary Care
- Healthcare Associates of Southlake LLP (Executive Medicine of Texas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.