NPIMap

Individual provider Active NPI

Angela Hebert Hayden, APN-BC

  • Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1407090053
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3859 Issued in SC
Practice address
255 Enterprise Blvd Ste 101
Greenville, SC 29615-3530
Phone
(864) 454-8120
Fax
(864) 454-8125
NPI assigned
Apr 27, 2009
Last updated
Feb 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3859 SC Primary
Gerontology Nurse Practitioner 363LG0600X 3859 SC

Addresses

Primary practice location

255 Enterprise Blvd Ste 101
Greenville, SC 29615-3530

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6015

Other identifiers 1

IdentifierTypeStateIssuer
NP1947MedicaidSC

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
I20100215000618 SC Practitioner - Nurse Practitioner 5496899445 Reassigns benefits to 1 organization
Practice locations: Clemson, SC; Myrtle Beach, SC

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 Enterprise Blvd
Suite 102
Greenville, SC 29615-3530
Phone (864) 454-1142

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Feb 23, 2015 Accepting new patients
Prisma Health University Medical Group CurrentSince Feb 23, 2015 Accepting new patients
Upstate Homecare MD, LLC PastSince Mar 1, 2007 Accepting new patients
Providence Care LLC PastSince Sep 6, 2011 Accepting new patients
Angela Hebert Hayden NP PastSince Jun 14, 2011 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

255 Enterprise Blvd
Ste 101
Greenville, SC 29615
Phone (864) 297-4929

255 Enterprise Blvd
Ste 102
Greenville, SC 29615
Phone (864) 454-1142

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

Interoperability endpoints

  • Direct secure messaging: ahayden15193@direct.ghs.myhfn.org

Organizations & group practices 5

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.

Hospital & facility affiliations 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1407090053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ENTERPRISE BLVD STE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153530",
            "telephone_number": "864-454-8120",
            "fax_number": "864-454-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "ANGELA",
        "middle_name": "HEBERT",
        "credential": "APN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "3859",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "3859",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1947",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.