Jacqueline C. Myers, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

17933 Issued in SC

Practice address

101 N Pine St
Spartanburg, SC 29302-1685

Phone

(864) 541-0649

NPI assigned

Feb 26, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• PH Health Care Services Inc

  • Community Based Hospice Care Agency
  • Easley, SC
  • NPI 1134491616
  NPD
• Providence Care LLC

  • Community Based Hospice Care Agency
  • Rock Hill, SC
  • NPI 1891005104
  NPD (past)

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1013257260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HOUSTON RICE RD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781637",
            "telephone_number": "864-710-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021685",
            "telephone_number": "864-541-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JACQUELINE",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "17933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret J Musick
• Desiree D Mutcherson, MS,CCC/SLP
• Travis Michael Muthig, M.D.
• My Hearing Centers Holding Inc.
• Ashlyn Kate Myers, ATC
• Darlene Marie Myles, DO
• Appala Raju Nagubilli, MD
• Tanya Nestvogel Nagy, P.A.
• Laudan Audrey Nahavandi, PA
• Naitonal Vision, Inc.

• Adult Health Nurse Practitioner in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.