Active NPI
Janice Klaiber Haynes, NP
- Women's Health Nurse Practitioner
- N Charleston, SC
National Provider Identifier
1467480699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- OB518
- Practice address
- 5319 Parkshire Way
N Charleston, SC 29418-2051 - Phone
- (843) 767-2121
- Fax
- (843) 767-2102
- NPI assigned
- Jun 28, 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | OB518 | SC | Primary |
Addresses
Primary practice location
5319 Parkshire Way
N Charleston, SC 29418-2051
Mailing address
135 Candace Dr
Ridgeville, SC 29472-8802
Phone (843) 871-5847
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 518 | SC | MD | Podiatrist |
| OB518 | SC | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Paul'S Medical Group, Inc | Past | Accepting new patients | |
| Charleston Womens Wellness Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14771/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/1898/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1578626552
-
- Clinic/Center
- Hollywood, SC
- NPI 1740402130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467480699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 CANDACE DR",
"city": "RIDGEVILLE",
"state": "SC",
"postal_code": "294728802",
"telephone_number": "843-871-5847",
"fax_number": "843-767-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5319 PARKSHIRE WAY",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294182051",
"telephone_number": "843-767-2121",
"fax_number": "843-767-2102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "JANICE",
"middle_name": "KLAIBER",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "SC",
"license": "OB518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in N Charleston, 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.