Lavena S Wilkes, N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN4075 Issued in SC

Practice address

222 Adley Way
Greenville, SC 29607

Phone

(864) 230-1665

Fax

(844) 596-0411

NPI assigned

Feb 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Psychiatric Associates PA

  • Clinical Social Worker
  • Greenville, SC
  • NPI 1194868794
  NPD (past)
• Sherbondy'S LLC Psychiatric Services

  • Psychiatry Physician
  • Greenville, SC
  • NPI 1255353256
  NPD (past)

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285966036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3834",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29608",
            "telephone_number": "864-230-1665",
            "fax_number": "844-596-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ADLEY WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-230-1665",
            "fax_number": "844-596-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "LAVENA",
        "middle_name": "S",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "4075",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "APRN4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Jerome Wilkerson, M.D.
• Timothy Craig Wilkerson, LMSW
• Vickie D Wilkerson
• Elizabeth B Wilkes, CRNA
• Emmylou Wilkes
• Whitley Wilkes
• Kathryn Wilkie, PA-C
• Carolyn Wilkins
• Morgan Conte Wilkins, OTR/L
• Kelli Wilkinson

• Psychiatric/Mental Health Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.