Jennifer Anne Hyde, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

24451 Issued in SC

Practice address

105 Springhall Dr
Goose Creek, SC 29445-5370

Phone

(843) 766-6308

Fax

(866) 533-4473

NPI assigned

Mar 3, 2021

Last updated

Feb 2, 2022By 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Musc Affiliate Physicians

  dba MUSC Affiliate Physicians Spec

  • Psychiatry Physician
  • Charleston, SC
  • NPI 1700465648
  Medicare reassignment NPD
• Musc Affiliate Physicians

  dba MUSC Affiliate Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1548849482
  NPD
• Plantation Pediatrics, LLC

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1427415298
  NPD (past)
• University Medical Associates

  dba MUSC Physicians

  • Pediatric Allergy/Immunology Physician
  • Charleston, SC
  • NPI 1902323504
  NPD (past)

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1861087736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 SAVAGE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074726",
            "telephone_number": "843-766-6308",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SPRINGHALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455370",
            "telephone_number": "843-766-6308",
            "fax_number": "866-533-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "24451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen David Huch, DMD
• Carrie Coker Hughes, RDH
• Brent R. Humphrey, D.M.D.
• Renee Lynn Hunter, FNP-C, DC
• Megan Jean Hutchinson, FNP-C
• John Andrew Inman, DPT
• Inspire Medical Services
• Integrity Chiropractic Center, LLC
• Intentional Wellness LLC (AlignLife of Goose Creek)
• International Insight

• Pediatric Nurse Practitioner in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Pediatric Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.