Individual provider Active NPI

Deborah Szelepka, FNP

  • Family Nurse Practitioner
  • Walterboro, SC
National Provider Identifier
1053777102
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19848 Issued in SC
Practice address
457 Spruce St
Walterboro, SC 29488
Phone
(843) 781-7428
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19848 SC Primary

Addresses

Primary practice location

457 Spruce St
Walterboro, SC 29488

Mailing address

457 Spruce St
Walterboro, SC 29488-2766
Phone (843) 781-7428

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160419002385 SC Practitioner - Nurse Practitioner 5395043616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19848SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Urgent Care LLC CurrentSince Jul 15, 2021 Accepting new patients

Locations

182C Sea Island Pkwy
Ste 230
Beaufort, SC 29907

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

482 W Boyce St
Manning, SC 29102
Phone (843) 322-1933

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1053777102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 SPRUCE ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882766",
            "telephone_number": "843-781-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 SPRUCE ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "29488",
            "telephone_number": "843-781-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZELEPKA",
        "first_name": "DEBORAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

Verify at the official NPI Registry.