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

MS. Kelly Aleen Haines, FNP-C

Individual provider Family Nurse Practitioner · NPI 1538437611

MS. Kelly Aleen Haines, FNP-C is a Nurse Practitioner in Fort Defiance, Arizona. Qualified in 2011, 15 years ago. Practices with The Fort Defiance Indian Hospital Board, Incorporation, a 146-clinician group and accepts Medicare assignment. Licensed in Arizona and Washington.

Years since qualifying
15
Licensed in
AZ, WA
In the registry since
2011
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

Corner Of Route N12 And N7
Fort Defiance, AZ 86504
Phone: (928) 729-8000
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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 AP4272 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP60438941 (WA)

Record details

NPI number1538437611
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 5, 2011
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice The Fort Defiance Indian Hospital Board, Incorporation — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Defiance