Active NPI
Wadiya Haynes, MSN, FNP-BC, CNRN
- Family Nurse Practitioner
- Milford, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG-0001167
- Practice address
- 310 Mullet Run
Milford, DE 19963-5371 - Phone
- (302) 400-9999
- Fax
- (302) 487-1518
- NPI assigned
- Feb 21, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0001167 | DE | Primary |
| Nurse Practitioner | 363L00000X | SP018496 | PA |
Addresses
Primary practice location
310 Mullet Run
Milford, DE 19963-5371
Mailing address
PO Box 67537
Newark, NJ 07101-8009
Phone (302) 400-9999
Other practice location 1
106 N Bayberry Pkwy
Middletown, DE 19709-9859
Phone (302) 383-0659
Other practice location 2
74 E Glenwood Ave Unit 5705
Smyrna, DE 19977-1002
Phone (215) 828-1980
Other names 1
- Wadiya White
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Jefferson Medical College of Thomas Jefferson University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
310 Mullet Run
Milford, DE 19963-5371
Phone (302) 856-3737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP018496 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current | Accepting new patients | |
| Beebe Physician Network Inc. | Family | Past | Accepting new patients |
Locations
909 Walnut St
Fl 2
Philadelphia, PA 19107
Phone (215) 955-1234
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Interoperability endpoints
- wadiya.haynes@897952601604100.direct.elationemr.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Georgetown, DE
- NPI 1013547637
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1184125684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67537",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071018009",
"telephone_number": "302-400-9999",
"fax_number": "302-487-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 MULLET RUN",
"city": "MILFORD",
"state": "DE",
"postal_code": "199635371",
"telephone_number": "302-400-9999",
"fax_number": "302-487-1518"
}
],
"practiceLocations": [
{
"address_1": "106 N Bayberry Pkwy",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "DE",
"postal_code": "197099859",
"country_code": "US",
"telephone_number": "302-383-0659",
"fax_number": "302-360-1892",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "74 E Glenwood Ave Unit 5705",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "DE",
"postal_code": "199771002",
"country_code": "US",
"telephone_number": "215-828-1980",
"fax_number": "302-360-1892",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYNES",
"first_name": "WADIYA",
"credential": "MSN, FNP-BC, CNRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0001167",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP018496",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WADIYA",
"last_name": "WHITE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.