Provider Demographics
NPI:1851852495
Name:HAYES, LAKISHA S
Entity Type:Individual
Prefix:
First Name:LAKISHA
Middle Name:S
Last Name:HAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 FAITH RD # 1040
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28146-7007
Mailing Address - Country:US
Mailing Address - Phone:704-224-8690
Mailing Address - Fax:
Practice Address - Street 1:316 GRANT ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:NC
Practice Address - Zip Code:28159-1636
Practice Address - Country:US
Practice Address - Phone:704-224-8690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-27
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC281471163WM0705X, 163WN0003X, 163WP0200X, 163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty
No163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Multi-Specialty
No163WN0003XNursing Service ProvidersRegistered NurseNeonatal, Low-RiskGroup - Multi-Specialty
No163WP0200XNursing Service ProvidersRegistered NursePediatrics