NPIMap

Individual provider Active NPI

Lorin Bell Haynes, FNP-C

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1982234365
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012745 Issued in NC
Practice address
1840 Owen Dr Ste 103
Fayetteville, NC 28304-3455
Phone
(910) 223-7246
NPI assigned
Jan 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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 5012745 NC Primary

Addresses

Primary practice location

1840 Owen Dr Ste 103
Fayetteville, NC 28304-3455

Mailing address

7780 Brier Creek Pkwy
Ste 200
Raleigh, NC 27617-7869
Phone (919) 596-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200330001090 NC Practitioner - Nurse Practitioner 9931538808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brier Creek Integrated Pain and Spine PLLCGroup PAC ID 9133214539, 20 clinicians

Practice addresses (Care Compare)

121 Enterprise Dr
Rocky Mount, NC 27804-9516
Phone (252) 200-5180

1514 S Horner Blvd
Sanford, NC 27330-5632
Phone (919) 774-7246

7780 Brier Creek Pkwy
Suite 200
Raleigh, NC 27617-7849

7780 Brier Creek Pkwy
Suite 200
Raleigh, NC 27617-7869
Phone (919) 596-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5012745NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brier Creek Integrated Pain & Spine PLLC CurrentSince Feb 17, 2020 Accepting new patients
JKM Community Services, PLLC Past Accepting new patients

Locations

4214 N Roxboro St
Ste 140
Durham, NC 27704
Phone (919) 226-1261

1840 Owen Dr
Ste 103
Fayetteville, NC 28304
Phone (910) 223-7246

7780 Brier Creek Pkwy
Raleigh, NC 27617

7780 Brier Creek Pkwy
Ste 200
Raleigh, NC 27617
Phone (919) 246-7266

121 Enterprise Dr
Rocky Mount, NC 27804
Phone (252) 200-5180

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1982234365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY",
            "address_2": "STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177869",
            "telephone_number": "919-596-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 OWEN DR STE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043455",
            "telephone_number": "910-223-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "LORIN",
        "middle_name": "BELL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.