ANDREA SHANA HAYNES (NPI# 1093069072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093069072 |
| Entity Type | Individual |
| Full Name | ANDREA SHANA HAYNES |
| Credential | RN |
| Practice Address |
4101 Woolworth Ave Omaha NE 68105-1850 |
| Mailing Address |
305 Donan St Mound City MO 64470-1601 |
| Practice Telephone | 4023468800 |
| Mailing Telephone | 4029177411 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
R205129-3 | MN | Nursing Service Providers |
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
2005038768 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012185 | Andrea Haynes | Pharmacist | 702 W Loop 289, Lubbock, TX 79416-4200 | 2020-10-28 |
| 1720585029 | Andrea Nicole Haynes | Student in an Organized Health Care Education/Training Program | 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7457 | 2018-04-12 |
| 1053723676 | Andrea Haynes | Nurse Practitioner | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2014-06-02 |
| Street Address |
4101 WOOLWORTH AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598759870 | Allan Hancock | Dentist | 4101 Woolworth Ave, Dental Department 160, Omaha, NE 68105-1850 | 2005-09-01 |
| 1164034849 | Richard Dunn | Pharmacy Technician | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-08-23 |
| 1558979575 | Kristianna L Farley | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-07-15 |
| 1427671080 | Kelly Lea Baxter | Pharmacist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-05-18 |
| 1255954806 | Ashleigh Grammar | Pharmacist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-05-18 |
| 1437784170 | Chad Michael Conrad | Respiratory Therapist, Registered | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-03-03 |
| 1437783669 | Jordan Lynn Ruskamp | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-02-26 |
| 1467009902 | Michelle Marie Inzauro | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-08-20 |
| 1720633092 | Jacob Leons | Audiologist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-08-05 |
| 1477118230 | Topacio Anahi Ortiz | Dietitian, Registered | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
| Find all providers in zip 68105 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255415733 | Joseph Mangiameli Jr. | Registered Nurse | 14705 Manderson Plz, Suite 203, Omaha, NE 68116-6269 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911020 | Megan Skradis | Registered Nurse | 2300 S 16th St, Lincoln, NE 68502-3704 | 2020-01-24 |
| 1437641743 | Erin Marie Willnerd | Registered Nurse | 2300 S 16th St, Lincoln, NE 68502 | 2018-06-01 |
| 1609053362 | Susan D Williams | Registered Nurse | 601 W Leota St, North Platte, NE 69101-6525 | 2008-01-24 |
Please comment or provide details below to improve the information on ANDREA SHANA HAYNES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.