COLLEEN HAYNIE


Address: 500 E 19th St, Mountain Grove, MO 65711-1114
Phone: 4179266563

COLLEEN HAYNIE (NPI# 1528119922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528119922
Entity Type Individual
Full Name COLLEEN HAYNIE
Practice Address 500 E 19th St
Mountain Grove
MO 65711-1114
Mailing Address Po Box 1100
West Plains
MO 65775-1100
Practice Telephone 4179266563
Practice Fax Number 4179265820
Enumeration Date 2007-01-15
Last Update Date 2017-05-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 087357 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 427890629 05

Office Location

Street Address 500 E 19TH ST
City MOUNTAIN GROVE
State MO
Zip Code 65711-1114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467549865 Jennifer L Lambert Family Medicine 500 E 19th St, Mountain Grove, MO 65711-1114 2006-10-06
1356814875 Nancy Lynne Meesey Physical Therapist 500 E 19th St, Mountain Grove, MO 65711-1114 2019-01-08
1972012854 Adam Cole Mattison Nurse Practitioner 500 E 19th St, Mountain Grove, MO 65711-1114 2017-09-24
1083065999 Amanda Douglas Social Worker 500 E 19th St, Mountain Grove, MO 65711-1114 2016-06-22
1073971966 Julie Renae Posey Social Worker 500 E 19th St, Mountain Grove, MO 65711-1114 2016-02-05
1619358306 Kendra Rasmussen Registered Nurse 500 E 19th St, Mountain Grove, MO 65711 2015-06-18
1730593286 Golda Cain Counselor 500 E 19th St, Mountain Grove, MO 65711-1114 2014-06-12
1699100255 Paul E. Burris Nurse Practitioner 500 E 19th St, Mountain Grove, MO 65711-1114 2013-09-13
1285910869 Stephanie Renae Gerlek Social Worker 500 E 19th St, Mountain Grove, MO 65711-1114 2011-10-27
1366511289 Samuel Aaron Newton Family Medicine 500 E 19th St, Mountain Grove, MO 65711-1114 2006-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912476300 Spurling and White LLC Nurse Practitioner 100 W. 17th Street, Ste D, Mountain Grove, MO 65711 2018-11-15
1699255299 Regional Services Nurse Practitioner 320 E 9th St, Mountain Grove, MO 65711 2018-08-14
1518342153 Douglas County Public Health Services Group, Inc. Clinic/Center 1604 C. North Main Street, Mountain Grove, MO 65711 2015-07-24
1265754501 Texas County Memorial Hospital Clinic/Center 1905 West 19th Street, Mountain Grove, MO 65711 2010-02-26
1376679423 Ozarks Medical Center Clinic/Center 500 East 19th Street, Suite A, Mountain Grove, MO 65711 2007-02-25
1508917949 Connie Armstrong Nurse Practitioner 1604 N. Main, Mountain Grove, MO 65711 2007-01-14
1659474930 Cheryl J Bell Nurse Practitioner 1602-a N. Main, Mtn. Grove, MO 65711 2006-09-05
1114035870 Tommy Dean Todd Dentist 901 North Main, Mountain Grove, MO 65711 2006-08-25
1376505230 Community Hospices of America, LLC Hospice Care, Community Based 1602c N Main St, Mountain Grove, MO 65711 2006-04-05
1972573699 Mountain Grove Medical and Laser Center Inc General Practice 601 N Busch Ave, Mountain Grove, MO 65711 2006-01-25
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508917949 Connie Armstrong Nurse Practitioner 1604 N. Main, Mountain Grove, MO 65711 2007-01-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841899614 Holly Maria Adams Nurse Practitioner 724 Highway H, Neelyville, MO 63954-9206 2020-10-22
1235737982 Katie Ann Allen Nurse Practitioner 24583 Tigger, Saint Robert, MO 65584-3806 2020-10-14
1184221160 Zachary Wade Orr Nurse Practitioner 1622 S 18th St, Saint Louis, MO 63104-2504 2020-10-02
1538766514 Martha Lorraine Courdin-whitson Nurse Practitioner 386 Caudill Way, Branson, MO 65616-8686 2020-10-02
1225645393 Carlee Rozell Nurse Practitioner 2522 Equine Valley Rd, Nixa, MO 65714-6101 2020-09-23
1841806551 Pamela Louise Smith Nurse Practitioner 1605 E Broadway Ste 100, Columbia, MO 65201-8023 2020-09-17
1073128518 Christen Rincker Nurse Practitioner 2343 Hickory St, Saint Louis, MO 63104-2418 2020-09-11
1396357141 Melissa Ann Lovins-bewley Nurse Practitioner 14484 County Road 640, Dexter, MO 63841-8667 2020-08-21
1508477688 Jessica Nicole Whiteman Nurse Practitioner 3110 Duncan St, Saint Joseph, MO 64507-1863 2020-08-12
1790393049 Kathy Forson Nurse Practitioner 1235 E. Cherokee St., Springfield, MO 65804 2020-07-22
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Competitor

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City MOUNTAIN GROVE
Zip Code 65711

Improve Information

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Dataset Information

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.

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