Active NPI
Phenomenal Healthcare Solutions
- Health Service Clinic/Center
- Spartanburg, SC
National Provider Identifier
1023603420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- PHENOMENAL HEALTHCARE SOLUTIONS
- Practice address
- 1526C John B White Sr Blvd
Spartanburg, SC 29301-3886 - Phone
- (864) 707-2010
- Fax
- (855) 583-3720
- NPI assigned
- Mar 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Audrey Huff, RN
- Title
- Owner
- Phone
- (864) 541-3616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1526C John B White Sr Blvd
Spartanburg, SC 29301-3886
Mailing address
527 Beechcreek Dr
Spartanburg, SC 29303-4329
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | phenomenalhealthcaresolutions@yahoo.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
150 Outlet Rd
Spartanburg, SC 29303
Phone (864) 340-5003
498 Howard St
Spartanburg, SC 29303
1526C John B White SR Blvd
Spartanburg, SC 29301
Phone (864) 541-3616
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Spartanburg, SC
- NPI 1902499189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701993600000",
"number": "1023603420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 BEECHCREEK DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526C JOHN B WHITE SR BLVD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293013886",
"telephone_number": "864-707-2010",
"fax_number": "855-583-3720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHENOMENAL HEALTHCARE SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-08",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A",
"authorized_official_last_name": "HUFF",
"authorized_official_first_name": "AUDREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-541-3616",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "phenomenalhealthcaresolutions@yahoo.com",
"affiliation": "N",
"address_1": "1526C John B White SR Blvd",
"city": "Spartanburg",
"state": "SC",
"country_code": "US",
"postal_code": "293013886",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.