Lisa Michelle Haynes, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024170184 Issued in VA

Practice address

4700 Puddledock Rd
Suite 400
Prince George, VA 23875-1237

Phone

(804) 458-1740

NPI assigned

Jul 17, 2012

Sex

Female

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Retreat Cardiology LLC

  • Cardiovascular Disease Physician
  • Richmond, VA
  • NPI 1073646501
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1992050983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 FRANKLIN FARMS DR",
            "address_2": "SUITE 130",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295108",
            "telephone_number": "804-521-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 PUDDLEDOCK RD",
            "address_2": "SUITE 400",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751237",
            "telephone_number": "804-458-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Marie Harlan
• Latisha Harper
• Kayla Harris
• Michelle April Harrison
• Kiya Haskett
• Healing Hearts Foundation LLC
• Katherine E Higgins
• Mary P Holc, NP
• Rachel Howard, PA-C
• Industrial Health and Wellness PLLC

• Family Nurse Practitioner in Prince George, VA
• Providers in Prince George, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.