Individual provider Active NPI

Hannah Sarah Lyttle, FNP-C

  • Family Nurse Practitioner
  • Tarboro, NC
National Provider Identifier
1346085313
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020325 Issued in NC
Practice address
107 W Saint John St
Tarboro, NC 27886-4316
Phone
(252) 823-4300
NPI assigned
Jul 1, 2024
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 5020325 NC Primary

Addresses

Primary practice location

107 W Saint John St
Tarboro, NC 27886-4316

Mailing address

4204 Six Forks Rd Apt 3211
Raleigh, NC 27609-6452
Phone (804) 432-6481

Other practice location 1

504 N Main St
Robersonville, NC 27871-9567
Phone (252) 795-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240923001252 NC Practitioner - Nurse Practitioner 1850832486 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5020325NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robersonville Physicians PC CurrentSince Jul 16, 2024 Accepting new patients

Locations

504 N Main St
Robersonville, NC 27871
Phone (252) 795-5555

107 W Saint John St
Tarboro, NC 27886
Phone (252) 823-4300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1346085313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 SIX FORKS RD APT 3211",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096452",
            "telephone_number": "804-432-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W SAINT JOHN ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864316",
            "telephone_number": "252-823-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 N Main St",
            "address_purpose": "LOCATION",
            "city": "Robersonville",
            "state": "NC",
            "postal_code": "278719567",
            "country_code": "US",
            "telephone_number": "252-795-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYTTLE",
        "first_name": "HANNAH",
        "middle_name": "SARAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarboro, NC

Sources for this page

Verify at the official NPI Registry.