Active NPI
Laverne Wilds, RN
- Addiction (Substance Use Disorder) Registered Nurse
- Florence, SC
National Provider Identifier
1063320455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 226984
- Practice address
- 1341 N Cashua Dr
Florence, SC 29501-6939 - Phone
- (855) 694-8288
- NPI assigned
- Aug 28, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 226984 | SC | Primary |
Addresses
Primary practice location
1341 N Cashua Dr
Florence, SC 29501-6939
Mailing address
924 Chancellor Dr
Hartsville, SC 29550-5205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1063320455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 CHANCELLOR DR",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295505205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1341 N CASHUA DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295016939",
"telephone_number": "855-694-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDS",
"first_name": "LAVERNE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "226984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.