JACQUILINE MORGAN HAYNES (NPI# 1285105163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285105163 |
| Entity Type | Individual |
| Full Name | JACQUILINE MORGAN HAYNES |
| Practice Address |
9820 Patrician Dr New Port Richey FL 34655-5730 |
| Practice Telephone | 7274887499 |
| Practice Fax Number | 7279450447 |
| Mailing Telephone | 7274887499 |
| Mailing Fax Number | 7279450447 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
FL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015754900 | 05 |
| Street Address |
9820 PATRICIAN DR |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34655-5730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053873299 | Julia D Davis | Technician | 6701 Osteen Rd Apt 8, New Port Richey, FL 34653-3609 | 2019-04-05 |
| 1972074169 | Carey Thurman | Technician | 9923 Mendel Dr, New Port Richey, FL 34654-5030 | 2018-12-16 |
| 1770180655 | Michael Thurman | Technician | 9923 Mendel Dr, New Port Richey, FL 34654-5030 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232967 | Amanda Darnell O'berry | Technician | 6531 Berryhill Rd, Milton, FL 32570-6822 | 2020-10-14 |
| 1598363590 | Bergeline Lexis | Technician | 8836 Viking Ln, Lakeland, FL 33809-1751 | 2020-10-12 |
| 1629685201 | Lynda Wilkes Dekold | Technician | 4110 Sw 63rd Blvd, Gainesville, FL 32608-3924 | 2020-09-28 |
| 1134736952 | Robin Lynn Knight | Technician | 1125 Anolas Way, Lutz, FL 33548-2902 | 2020-09-25 |
| 1689289969 | Golden Life Senior Services LLC | Technician | 2595 Sanford Ave, Sanford, FL 32773-4606 | 2020-09-13 |
| 1760096945 | Hermina Cyntje | Technician | 13060 Waterbourne Dr, Gibsonton, FL 33534-3908 | 2020-09-03 |
| 1154933273 | Erica Petithomme | Technician | 3935 Ne 22nd Ave, Cape Coral, FL 33909-3282 | 2020-08-19 |
| 1063021889 | Stacey Wilcox | Technician | 1447 Nw Wayne Pl Apt 105, Lake City, FL 32055-6107 | 2020-07-28 |
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1689290264 | Amanda Michelle White | Technician | 938 Geary St Sw, Palm Bay, FL 32908-4206 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34655 |
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| 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.