Individual provider Active NPI

Linda Marie Woodfin-Hightower, FNP

  • Family Nurse Practitioner
  • Landrum, SC
National Provider Identifier
1679501621
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1614 Issued in SC
Practice address
108 W Rutherford St
Landrum, SC 29356-1526
Phone
(864) 457-2363
Fax
(864) 457-2731
NPI assigned
Jun 29, 2006
Last updated
Mar 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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 1614 SC Primary

Addresses

Primary practice location

108 W Rutherford St
Landrum, SC 29356-1526

Mailing address

PO Box 657
Landrum, SC 29356-0657
Phone (864) 457-2363

Other identifiers 4

IdentifierTypeStateIssuer
428995OtherSCMEDICARE RURAL HEALTH
NP0087MedicaidSC
RHC183OtherSCMEDICAID RURAL HEALTH
7000138MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20070416000204 SC Practitioner - Nurse Practitioner 3779572474 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1614SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Health Solutions LLC CurrentSince Feb 10, 2021 Accepting new patients
Landrum Family Healthcare Center, PA Past Accepting new patients
Mary Black Physicians Group LLC Past Accepting new patients

Locations

206 Elliott Rd
Lyman, SC 29365
Phone (864) 439-6559

Organizations & group practices 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1679501621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 657",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293560657",
            "telephone_number": "864-457-2363",
            "fax_number": "864-457-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W RUTHERFORD ST",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293561526",
            "telephone_number": "864-457-2363",
            "fax_number": "864-457-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODFIN-HIGHTOWER",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "1614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RURAL HEALTH",
            "identifier": "428995",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0087",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID RURAL HEALTH",
            "identifier": "RHC183",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000138",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Landrum, SC

Sources for this page

Verify at the official NPI Registry.