TANICIA WASHINGTON HAYNES AGPCNP-BC NPI 1750782405

NPI Information

NPI: 1750782405
Provider Name: TANICIA WASHINGTON HAYNES, AGPCNP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232
Phone: (615) 322-3000
Get Directions

Tanicia Washington Haynes, AGPCNP-BC is a gerontology nurse practitioner in Nashville, TN with 10 years of experience. Tanicia Washington Haynes, AGPCNP-BC NPI is 1750782405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232-866
Phone: (615) 322-3000
Fax: (704) 355-5180

The NPI 1750782405 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/12/2014 and was last updated on 9/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		190232	TENNESSEE	No
2	363L00000X	Nurse Practitioner		5007268	NORTH CAROLINA	No
3	363LA2200X	Nurse Practitioner	Adult Health	20169	TENNESSEE	No
4	363LP2300X	Nurse Practitioner	Primary Care	20169	TENNESSEE	No
5	363LG0600X	Nurse Practitioner	Gerontology	20169	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1750782405	MEDICAID	NORTH CAROLINA
2	NP2999	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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