Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SHIRLEY LYNN HAYNES PA-C
NPI 1225003551
Physician Assistant in Saint Louis, MO

Active since February 21, 2006
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141(800) 325-3982(877) 685-9866 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shirley Lynn Haynes Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY LYNN HAYNES PA-C (NPI 1225003551) is an individual physician assistant in Saint Louis, Missouri, licensed in Oregon (PA00545) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1225003551
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHIRLEY LYNN HAYNESCredential: PA-C
Location Address12647 OLIVE BLVD, SUITE 600Saint Louis, MO 63141-6345
Mailing Address91-1001 Hokuimo StKapolei, HI 96707-3078 · (808) 398-2209
Fax(877) 685-9866
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1225003551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA00545
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

12647 OLIVE BLVD, Saint Louis, MO 63141

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Dentist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Dentist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Dentist (General Practice)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Physician Assistant
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Pharmacist
12647 OLIVE BLVD, SPECTRUM HEALTHCARE RESOURCES
ST. LOUIS, MO 63141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225003551, enumerated as an "individual" on February 21, 2006.

The provider is located at 12647 OLIVE BLVD SUITE 600 SAINT LOUIS, MO 63141 and the phone number is (800) 325-3982.

Physician Assistant with taxonomy code 363A00000X.