Active NPI
Shadell Murray, RN
- Community Health Registered Nurse
- Moncks Corner, SC
National Provider Identifier
1013552652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN232855
- Practice address
- 109 W Main St
Moncks Corner, SC 29461-2673 - Phone
- (843) 719-4610
- NPI assigned
- Nov 7, 2019
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN232855 | GA | Primary |
Addresses
Primary practice location
109 W Main St
Moncks Corner, SC 29461-2673
Mailing address
109 W Main St
Moncks Corner, SC 29461-2673
Phone (843) 719-4610
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | scdhec.gov |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN232855 | GA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1013552652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W MAIN ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294612673",
"telephone_number": "843-719-4610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W MAIN ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294612673",
"telephone_number": "843-719-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "SHADELL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "GA",
"license": "RN232855",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "scdhec.gov",
"affiliation": "N",
"address_1": "109 W Main St",
"city": "Moncks Corner",
"state": "SC",
"country_code": "US",
"postal_code": "294612673",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.