Active NPI
Patricia Calladine McCallister, MSN, APRN
- Acute Care Nurse Practitioner
- Spartanburg, SC
National Provider Identifier
1073835146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN4112
- Practice address
- 101 E Wood St
Suite 401
Spartanburg, SC 29303-3040 - Phone
- (864) 560-6654
- Fax
- (864) 560-6017
- NPI assigned
- Feb 17, 2010
- Last updated
- Aug 7, 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN4112 | SC | Primary |
Addresses
Primary practice location
101 E Wood St
Suite 401
Spartanburg, SC 29303-3040
Mailing address
PO Box 2168
Spartanburg, SC 29304-2168
Phone (864) 560-4304
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7004722 | Medicaid | NC | |
| NP1637 | Medicaid | SC | |
| P01325832 | Other | SC | RAILRAOD MEDICARE |
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)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN4112 | SC | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1073835146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2168",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293042168",
"telephone_number": "864-560-4304",
"fax_number": "864-560-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E WOOD ST",
"address_2": "SUITE 401",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033040",
"telephone_number": "864-560-6654",
"fax_number": "864-560-6017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLADINE MCCALLISTER",
"first_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "MSN, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-17",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "SC",
"license": "APRN4112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7004722",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP1637",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "P01325832",
"state": "SC"
}
],
"endpoints": [],
"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 Aug 7, 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.