Individual provider Active NPI

Ruth Anne Etter, FNP-BC

  • Family Nurse Practitioner
  • Clemson, SC
National Provider Identifier
1003243056
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18468 Issued in SC
Practice address
1300 Tiger Blvd
Clemson, SC 29631-1114
Phone
(866) 389-2727
NPI assigned
Oct 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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 18468 SC Primary

Addresses

Primary practice location

1300 Tiger Blvd
Clemson, SC 29631-1114

Mailing address

366 Market St
Seneca, SC 29678-0926
Phone (864) 364-6380

Other identifiers 2

IdentifierTypeStateIssuer
SC2276I818OtherSCMEDICARE
NP2784MedicaidSC

Other names 1

  • Ruthanne Singer Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140115000989 SC Practitioner - Nurse Practitioner 8820226012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18468SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Clinical LTC Associates of South Carolina, PC CurrentSince Apr 10, 2025 Accepting new patients

Locations

611 E Hampton St
Anderson, SC 29624
Phone (864) 226-5054

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1381017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1003243056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 MARKET ST",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780926",
            "telephone_number": "864-364-6380",
            "fax_number": "833-853-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 TIGER BLVD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311114",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTER",
        "first_name": "RUTH",
        "middle_name": "ANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-06",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SC2276I818",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2784",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTHANNE",
            "last_name": "SINGER",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clemson, SC

Sources for this page

Verify at the official NPI Registry.