Erica Denise Hare, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2-051161 Issued in AL

Practice address

7950 Martin Loop
BLDG 9200
Fort Benning, GA 31905-5647

Phone

(706) 544-2048

Fax

(706) 544-1388

NPI assigned

Apr 10, 2008

Last updated

Apr 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erica Denise Waits Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1255504122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 FOUNTAIN CT",
            "address_2": "APT# 405",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319041606",
            "telephone_number": "706-341-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 MARTIN LOOP",
            "address_2": "BLDG 9200",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055647",
            "telephone_number": "706-544-2048",
            "fax_number": "706-544-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARE",
        "first_name": "ERICA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AL",
            "license": "2-051161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "WAITS",
            "middle_name": "DENISE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johnathan L Hadley, MD
• Steven M Hagan, PA-C, DMO
• Soncheray Hall, LCSW-C
• Travis Hallquist, DNP, CRNA
• Annette T. Harbin, LPC
• April Y Harris, RDH
• Keiven Gerard Harris, PT
• Mark Alan Hartley, MPAS PA-C
• Gary Lee Hatfield, PA-C
• Henry K. Hathaway, PA-C

• Licensed Practical Nurse in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.