Active NPI
Vency L Haynes, ATC
- Athletic Trainer
- Washington, DC
National Provider Identifier
1982487914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 20000293656
- Practice address
- 601 Girard Street NW
Washington, DC 20059-0001 - Phone
- (202) 806-7141
- Fax
- (202) 806-9090
- NPI assigned
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 20000293656 | Primary |
Addresses
Primary practice location
601 Girard Street NW
Washington, DC 20059-0001
Mailing address
601 Girard St NW
Washington, DC 20059-0001
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1982487914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 GIRARD ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200590001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 GIRARD STREET NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200590001",
"telephone_number": "202-806-7141",
"fax_number": "202-806-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "VENCY",
"middle_name": "L",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "20000293656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.