Lesharo Lashea Willoughby Haywood, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

234194 Issued in NC

Practice address

3201 Yorktown Ave Ste 109
Durham, NC 27713-1474

Phone

(919) 627-7713

NPI assigned

Nov 19, 2021

Last updated

Aug 25, 2026By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greenville Pediatric Services, Inc

  • Pediatrics Physician
  • Greenville, NC
  • NPI 1679542971
  NPD (past)

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1659038107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BETHESDA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 YORKTOWN AVE STE 109",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131474",
            "telephone_number": "919-627-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY HAYWOOD",
        "first_name": "LESHARO",
        "middle_name": "LASHEA",
        "name_prefix": "Ms.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "234194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Noelle Willis, LCSW
• Haley Willis, D.D.S.
• Karen N. Willis, CCSW
• Michael Gregory Willis, PHARM.D.
• Rheaya Willis, MD
• Ann S Willoughby
• Willow Bloom Counseling PLLC
• Willow Oak Therapy, PLLC
• Erin Wills, NP
• Jennifer Kellner Wills, MD

• Pediatric Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.