Individual provider Active NPI

Wadiya Haynes, MSN, FNP-BC, CNRN

  • Family Nurse Practitioner
  • Milford, DE
National Provider Identifier
1184125684
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0001167 Issued in DE
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

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180802003470 PA Practitioner - Nurse Practitioner 6406104744 Reassigns benefits to 1 organization
I20250505001747 DE Practitioner - Nurse Practitioner 6406104744 Reassigns benefits to 1 organization

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
Nutrihealth LLCGroup PAC ID 9537597919, 29 clinicians

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

LicenseStateTypeSpecialty
SP018496PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians CurrentSince Jun 20, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.