LETTIE JANE HAYNES (NPI# 1861817819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861817819 |
| Entity Type | Individual |
| Full Name | LETTIE JANE HAYNES |
| Credential | FNP |
| Practice Address |
2995 Reidville Rd Spartanburg SC 29301-5628 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 8645873000 |
| Mailing Telephone | 6157788540 |
| Mailing Fax Number | 6156286877 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2016-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN187039 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18714 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003157892A | 05 |
| Street Address |
2995 REIDVILLE RD |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29301-5628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881659712 | Royal Albert Hobbs | Plastic Surgery | 2995 Reidville Rd, Suite 150, Spartanburg, SC 29301-5668 | 2006-04-20 |
| 1619339660 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Spartanburg, SC 29301-5628 | 2016-03-28 |
| 1619310844 | Precision Plastic Surgery Pa | Plastic Surgery | 2995 Reidville Rd, Suite 150, Spartanburg, SC 29301-5668 | 2013-04-08 |
| 1578806618 | Jessica L Heintzelman | Family Medicine | 2995 Reidville Rd, Suite 210, Spartanburg, SC 29301-5628 | 2013-03-27 |
| 1326283896 | Mary Black Physicians Group, LLC | Internal Medicine | 2995 Reidville Rd, Suite 210, Spartanburg, SC 29301-5628 | 2008-12-11 |
| 1104061688 | Mary Black Physicians Group, LLC | Emergency Medicine | 2995 Reidville Rd, Spartanburg, SC 29301-5628 | 2008-12-11 |
| 1306081880 | Mary Black Physicians Group, LLC | Family Medicine | 2995 Reidville Rd, Suite 260, Spartanburg, SC 29301-5628 | 2008-12-11 |
| 1053556191 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Spartanburg, SC 29301-5628 | 2008-12-03 |
| 1518112143 | Spartanburg Medical Center | Obstetrics & Gynecology | 2995 Reidville Rd, Suite 290, Spartanburg, SC 29301-5628 | 2008-11-24 |
| 1053511766 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Ste 290, Spartanburg, SC 29301-5628 | 2007-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
| 1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
| 1124426382 | Shellie Smith | Social Worker | 101 Washington Place, Spartanburg, SC 29301 | 2014-12-19 |
| 1356751770 | Lindsey Marie Dillon | Counselor | 250 Dewey Ave., Spartanburg, SC 29301 | 2014-05-07 |
| 1568892461 | Lauren Campbell Heiser | Physical Therapist | 2660 Reidville Rd # 6&7, Spartanburg, SC 29301 | 2013-11-14 |
| 1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
| 1023384419 | Elizabeth B. Gurley | Pharmacist | 211 West Blackstock Rd, Spartanburg, SC 29301 | 2012-03-29 |
| 1649564063 | Brooke Webster Fuentes | Physician Assistant | 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 | 2011-06-02 |
| 1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
| Find all providers in zip 29301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231625 | Trisha Slaughter | Nurse Practitioner | 610 Adelaide Dr, Spartanburg, SC 29301-3231 | 2020-06-30 |
| 1891323457 | Jonathan Douglas Tester | Nurse Practitioner | 220 Police Club Rd, Spartanburg, SC 29303-3402 | 2020-03-30 |
| 1215455944 | Jasmine Marie Gregory | Nurse Practitioner | 300 E Blackstock Rd Ste E, Spartanburg, SC 29301-3787 | 2017-09-01 |
| 1730600396 | Stephanie Cannon | Nurse Practitioner | 100 E Wood St Ste 202, Spartanburg, SC 29303-3058 | 2017-07-03 |
| 1538698030 | Deborah Temples Anderson | Nurse Practitioner | 11 Doctors Park Dr Ste 220, Spartanburg, SC 29307-1008 | 2017-06-08 |
| 1285181990 | Faustina Baafour Evans | Nurse Practitioner | 1855 E Main St Ste 21a, Spartanburg, SC 29307-2327 | 2016-09-10 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1992170807 | Jaime Bright | Nurse Practitioner | 301 E Wood St, Spartanburg, SC 29303-3020 | 2015-12-02 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29301 |
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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.