Individual ProviderChristy HaynesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address501 19th St Ste 401, Knoxville, TN 37916-1831(865) 331-2020PECOS EnrollmentBased on the most recent information from CMS, provider Christy Haynes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 11:00 AM.Profile DetailsProvider ID1336568005Provider TypeIndividualFull NameHaynes, ChristyCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date4/10/2014Last Updated12/8/2021Contact InformationPractice LocationPractice Address501 19th St Ste 401, Knoxville, TN 37916-1831Phone(865) 331-2020Fax(865) 331-1976Mailing LocationMailing Address501 19th St Ste 401, Knoxville, TN 37916-1831Phone(865) 331-2020Fax(865) 331-1976Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense18618TennesseeProvider IdentifiersIDDescriptionIssuerIDQ016248DescriptionMedicaidIssuerUnlistedTennessee