Active NPI
Latecha Wynette Wright
- Hemodialysis Registered Nurse
- Orangeburg, SC
National Provider Identifier
1023694601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hemodialysis Registered Nurse
- License
- 85402
- Practice address
- 822 Mulberry St
Orangeburg, SC 29118-2869 - Phone
- (803) 860-2899
- NPI assigned
- Mar 23, 2021
- Last updated
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hemodialysis Registered Nurse | 163WH0500X | 85402 | SC | Primary |
Addresses
Primary practice location
822 Mulberry St
Orangeburg, SC 29118-2869
Mailing address
822 Mulberry St
Orangeburg, SC 29118-2869
Phone (803) 860-2899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85402 | SC | MD | Hemodialysis Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1023694601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 MULBERRY ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291182869",
"telephone_number": "803-860-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 MULBERRY ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291182869",
"telephone_number": "803-860-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "LATECHA",
"middle_name": "WYNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hemodialysis",
"state": "SC",
"license": "85402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.