Active NPI
Hayden Wilder
- Registered Nurse
- Charlotte, NC
National Provider Identifier
1861068900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 273435
- Practice address
- 132 Sloane Square Way
Charlotte, NC 28211-2966 - Phone
- (704) 451-6169
- NPI assigned
- May 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 273435 | NC | Primary |
Addresses
Primary practice location
132 Sloane Square Way
Charlotte, NC 28211-2966
Mailing address
132 Sloane Square Way
Charlotte, NC 28211-2966
Phone (704) 451-6169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 273435 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622332800000",
"number": "1861068900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 SLOANE SQUARE WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112966",
"telephone_number": "704-451-6169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 SLOANE SQUARE WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112966",
"telephone_number": "704-451-6169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "HAYDEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-30",
"last_updated": "2021-05-30",
"certification_date": "2021-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "273435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.