Healthcare Provider Details

I. General information

NPI: 1851852495
Provider Name (Legal Business Name): LAKISHA S HAYES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 GRANT ST
SPENCER NC
28159-1636
US

IV. Provider business mailing address

355 FAITH RD # 1040
SALISBURY NC
28146-7007
US

V. Phone/Fax

Practice location:
  • Phone: 704-224-8690
  • Fax:
Mailing address:
  • Phone: 704-224-8690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number281471
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number281471
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code163WN0003X
TaxonomyLow-Risk Neonatal Registered Nurse
License Number281471
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number281471
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number281471
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number281471
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: