RENEE HAYNES (NPI# 1689843450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689843450 |
| Entity Type | Individual |
| Full Name | RENEE HAYNES |
| Practice Address |
733 N Flag Chapel Rd Jackson MS 39209-2206 |
| Practice Telephone | 6019225530 |
| Mailing Telephone | 6019225530 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | TA2100 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MS STATE BOARD OF HEALTH | TA2100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477994507 | Renee Childress Haynes | Nurse Practitioner | 167 Moore Rd Ste 201, King, NC 27021-8770 | 2013-07-17 |
| 1558637470 | Renee Monique Haynes | Family Medicine | 98 Cohen Walker Drive, Warner Robins, GA 31088-0744 | 2012-03-25 |
| Street Address |
733 N FLAG CHAPEL RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39209-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487719530 | Lura Ball Beidleman | Speech-Language Pathologist | 733 N Flag Chapel Rd, Jackson, MS 39209-2206 | 2006-12-27 |
| 1700259447 | Brittany Holtmann | Speech-Language Pathologist | 733 N Flag Chapel Rd, Jackson, MS 39209-2206 | 2015-11-03 |
| 1205005071 | Brienne Smith | Audiologist | 733 N Flag Chapel Rd, Jackson, MS 39209-2206 | 2008-02-26 |
| 1356539928 | Carol James | Speech-Language Pathologist | 733 N Flag Chapel Rd, Magnolia Speech School, Jackson, MS 39209-2206 | 2007-10-09 |
| 1598953168 | Virginia Russell | Audiologist | 733 N Flag Chapel Rd, Magnolia Speech School, Jackson, MS 39209-2206 | 2007-10-09 |
| 1316163389 | Magnolia Speech School | Audiologist | 733 N Flag Chapel Rd, Jackson, MS 39209-2206 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1760003594 | Phi Health, LLC | Ambulance | 582 Ramp Road, Suite C, Jackson, MS 39209 | 2020-05-04 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1679961957 | Cassetta Shontae Mcgee | Emergency Medical Technician, Basic | 5326 Queen Eleanor Ln, Jackson, MS 39209 | 2015-01-08 |
| 1124381280 | Martin Solution | In Home Supportive Care | 917 West Ridge, Jackson, MS 39209 | 2012-06-22 |
| 1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
| 1831423862 | Infinity House, Inc | In Home Supportive Care | 1042 Pecan Park Circle, Jackson, MS 39209 | 2009-09-23 |
| 1174751093 | Linda M Vance | Nurse Practitioner | 1000 Metrocenter Ste 105, Jackson, MS 39209 | 2009-06-30 |
| 1770729998 | Kim Hestle | Speech-Language Pathologist | 733 N. Flag Chapel Road, Jackson, MS 39209 | 2008-12-17 |
| Find all providers in zip 39209 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1629426473 | Michelle M Schlechtweg | Occupational Therapy Assistant | 7 Berwyn Ln, Jackson, NJ 08527-5331 | 2016-06-01 |
| 1972977437 | Jasmin Patel | Occupational Therapy Assistant | 128 Cottonwood Trl, Jackson, GA 30233-3912 | 2015-11-20 |
| 1740672948 | Angela O'leary | Occupational Therapy Assistant | 23 Harvey Jones Dr, Jackson, NJ 08527-3167 | 2015-02-24 |
| 1538411897 | Michael David Patrick | Occupational Therapy Assistant | 703 Robinson Rd, Jackson, MI 49203-2538 | 2012-10-11 |
| 1083975320 | Kaneisha Ingram | Occupational Therapy Assistant | 1873 Longwood Dr, Jackson, MS 39212-2509 | 2012-06-04 |
| 1629360177 | Bertha Elsa Cohen | Occupational Therapy Assistant | 6 Sahalee Ct, Jackson, NJ 08527-4041 | 2011-05-03 |
| 1700037363 | Angela Nelson | Occupational Therapy Assistant | 4607 Lindbergh Dr, Jackson, MS 39209-3855 | 2008-10-01 |
| 1457509846 | Amy E May | Occupational Therapy Assistant | 722 Cotton Grove Rd, Jackson, TN 38305-9208 | 2008-08-28 |
| Find all providers in JACKSON | ||||
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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.