Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diane Haynes

Individual provider Family Nurse Practitioner · NPI 1790338382

Diane Haynes is a Nurse Practitioner in Flushing, New York. Qualified in 2025, 1 year ago. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3712 Prince St Ste 3C
Flushing, NY 11354-4650
Phone: (718) 380-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 358027 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 708471 (NY)

Record details

NPI number1790338382
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 23, 2019
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address419 Coolidge Ave, Rockville Centre, NY 11570-3307

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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