Active NPI
Jamie B. Vance, R.N.
- School Registered Nurse
- Greenville, SC
National Provider Identifier
1043636814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 214582
- Practice address
- 139 Hood Rd
Greenville, SC 29611-7519 - Phone
- (864) 269-4431
- Fax
- (864) 269-4426
- NPI assigned
- Mar 17, 2014
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 214582 | SC | Primary |
Addresses
Primary practice location
139 Hood Rd
Greenville, SC 29611-7519
Mailing address
139 Hood Rd
Greenville, SC 29611-7519
Phone (864) 269-4431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104973577 | Medicaid | SC |
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 |
|---|---|---|---|
| 214582 | SC | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1043636814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 HOOD RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296117519",
"telephone_number": "864-269-4431",
"fax_number": "864-269-4426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 HOOD RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296117519",
"telephone_number": "864-269-4431",
"fax_number": "864-269-4426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "JAMIE",
"middle_name": "B.",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-17",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "SC",
"license": "214582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104973577",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.