Active NPI
Lynn Hunter Hackett, MD
- Geriatric Psychiatry Physician
- Columbia, SC
National Provider Identifier
1407959349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 20-14221
- Practice address
- 6439 Garners Ferry Road
WJB Dorn VA Medical Center
Columbia, SC 29209 - Phone
- (803) 776-4000
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 20-14221 | SC | Primary |
Addresses
Primary practice location
6439 Garners Ferry Road
WJB Dorn VA Medical Center
Columbia, SC 29209
Mailing address
6439 Garners Ferry Road
WJB Dorn VA Medical Center
Columbia, SC 29209
Phone (803) 776-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20-14221 | SC | MD | Geriatric Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407959349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6439 GARNERS FERRY ROAD",
"address_2": "WJB DORN VA MEDICAL CENTER",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29209",
"telephone_number": "803-776-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6439 GARNERS FERRY ROAD",
"address_2": "WJB DORN VA MEDICAL CENTER",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29209",
"telephone_number": "803-776-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKETT",
"first_name": "LYNN",
"middle_name": "HUNTER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "SC",
"license": "20-14221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.