NPIMap

Individual provider Active NPI

Wendy L Lykes, APRN

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1194775866
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN1415 Issued in SC
Practice address
710 Rabon Rd Ste 203
Columbia, SC 29203-8903
Phone
(803) 274-6166
Fax
(803) 973-6640
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN1415 SC Primary

Addresses

Primary practice location

710 Rabon Rd Ste 203
Columbia, SC 29203-8903

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

2 Medical Park Rd Ste 203
Columbia, SC 29203-6839
Phone (803) 434-8090

Other identifiers 1

IdentifierTypeStateIssuer
NP0430MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613000789 SC Practitioner - Nurse Practitioner 7911941885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

2 Medical Park Rd
Suite 203
Columbia, SC 29203-6839
Phone (803) 434-6113

Hospital & facility affiliations

  • Amedisys Home Health of Camden Home health agency, Camden, SC, CCN 427036
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1415SCMDFamily Medicine Physician
APN1415SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 18, 2018 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 18, 2018 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Mar 14, 2022 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Mar 14, 2022 Accepting new patients
Eau Claire Cooperative Health Center, Inc Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

710 Rabon Rd
Ste 203
Columbia, SC 29203
Phone (803) 274-6166

3010 Farrow Rd
Ste 220
Columbia, SC 29203
Phone (803) 799-1264

2 Medical Park Rd
Ste 203
Columbia, SC 29203
Phone (803) 212-7130

710 Rabon Rd
Ste 202
Columbia, SC 29203
Phone (803) 419-6646

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

7611 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 714-3300

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

Interoperability endpoints

  • Direct secure messaging: wlykes568559@direct.ghs.myhfn.org
  • FHIR API: https://api.platform.athenahealth.com/10781/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1194775866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 RABON RD STE 203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038903",
            "telephone_number": "803-274-6166",
            "fax_number": "803-973-6640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Medical Park Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036839",
            "country_code": "US",
            "telephone_number": "803-434-8090",
            "fax_number": "803-933-3042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYKES",
        "first_name": "WENDY",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN1415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0430",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.