Katherine Ann Anderegg, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22183 Issued in SC

Practice address

1730 Thompson Avenue
Apt. C
Sullivan's Island, SC 29482-0601

Phone

(843) 883-3336

Fax

(843) 883-3336

NPI assigned

Apr 4, 2012

Last updated

Apr 4, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1033475074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 601",
            "city": "SULLIVAN'S ISLAND",
            "state": "SC",
            "postal_code": "294820601",
            "telephone_number": "843-883-3336",
            "fax_number": "843-883-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 THOMPSON AVENUE",
            "address_2": "APT. C",
            "city": "SULLIVAN'S ISLAND",
            "state": "SC",
            "postal_code": "294820601",
            "telephone_number": "843-883-3336",
            "fax_number": "843-883-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDEREGG",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "22183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agilitas USA, Inc (Results Physiotherapy)
• Grace Elizabeth Bauman
• Caroline Beauregard
• Elena Bell, LISW-CP
• Charmian Webb Bixler, MSPAS, PA-C
• Mary Bodzy, PHD

• General Practice Physician in Sullivans Island, SC
• Providers in Sullivans Island, SC by specialty
• General Practice Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.