Individual provider Active NPI

Jennifer Webb Hale, LPN

  • Licensed Practical Nurse
  • Eden, NC
National Provider Identifier
1801749494
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
88225 Issued in NC
Practice address
418 Shamrock Rd
Eden, NC 27288-2848
Phone
(336) 612-2351
Fax
(336) 612-2351
NPI assigned
Feb 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 88225 NC Primary

Addresses

Primary practice location

418 Shamrock Rd
Eden, NC 27288-2848

Mailing address

418 Shamrock Rd
Eden, NC 27288-2848
Phone (336) 589-0746

Other identifiers 1

IdentifierTypeStateIssuer
1801749494MedicaidNC

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

State licenses

LicenseStateTypeSpecialty
88225NCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fidelity Healthcare Staffing Solutions, LLC Current Accepting new patients
Serenity Care at Home Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1801749494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 SHAMROCK RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272882848",
            "telephone_number": "336-589-0746",
            "fax_number": "336-612-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 SHAMROCK RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272882848",
            "telephone_number": "336-612-2351",
            "fax_number": "336-612-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "JENNIFER",
        "middle_name": "WEBB",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "88225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801749494",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.