Active NPI
Stacy Nichole Poole, APRN, FNP-C
- Nurse Practitioner
- Manning, SC
National Provider Identifier
1003711680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 32809
- Practice address
- 50 E Hospital St
Manning, SC 29102-3149 - Phone
- (803) 433-0797
- NPI assigned
- Oct 13, 2026
- Last updated
- Oct 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 32809 | SC | Primary |
Addresses
Primary practice location
50 E Hospital St
Manning, SC 29102-3149
Mailing address
3531 Widman Dr
Sumter, SC 29154-9121
Phone (803) 464-4392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1003711680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3531 WIDMAN DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291549121",
"telephone_number": "803-464-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E HOSPITAL ST",
"city": "MANNING",
"state": "SC",
"postal_code": "291023149",
"telephone_number": "803-433-0797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "STACY",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-13",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "32809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manning, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.