Wanda Denise Pyles, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

43394 Issued in SC

Practice address

290 N Grove Medical Park Dr
Spartanburg, SC 29303-4222

Phone

(864) 345-1700

NPI assigned

Jan 22, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Swamp Rabbit Home Care, LLC

  • In Home Supportive Care Agency
  • Simpsonville, SC
  • NPI 1376305607
  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1316708779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MAYDEN CT",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296518500",
            "telephone_number": "864-498-9048",
            "fax_number": "864-469-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N GROVE MEDICAL PARK DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034222",
            "telephone_number": "864-345-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLES",
        "first_name": "WANDA",
        "middle_name": "DENISE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "43394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets Inc
• Andrew Puciaty, MD
• Alicia M Pugh, COMS
• James Calvin Pugh Jr., PHARMD
• Brian Purscell, RPH
• Q&R Enterprises, PLLC
• Michael P Quaiel, RN
• Quality Health Management, Inc.
• Quality Home Medical Inc
• Carla Kirkley Queen, PHARMACIST

• All providers in Spartanburg, SC
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.