Nicole Burnside

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

38417P Issued in SC

Practice address

609 N Townville St
Seneca, SC 29678-2642

Phone

(864) 882-2245

Fax

(864) 885-9659

NPI assigned

Mar 14, 2014

Last updated

Mar 14, 2014By 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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of South Carolina

  dba SC Dhec

  • Public Health or Welfare Agency
  • Seneca, SC
  • NPI 1962587212
  NPD (past)
• State of South Carolina Comptroller General

  dba Veteran Village

  • Skilled Nursing Facility
  • Florence, SC
  • NPI 1336994250
  NPD (past)

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1073939013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N TOWNVILLE ST",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782642",
            "telephone_number": "864-882-2245",
            "fax_number": "864-885-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N TOWNVILLE ST",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782642",
            "telephone_number": "864-882-2245",
            "fax_number": "864-885-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSIDE",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "38417P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Cecile Buldini
• Lindsey D Burbank Jr., D.D.S.
• Kathy Burdette, RN
• Tanya Elston Burnette, PA
• Shandra Burns-Lee, LPC
• Elizabeth Kimbrough Burpee, MD
• Michael Ryan Busch, DO
• Kaleigh Byrd, MA, CCC-SLP
• Juan Jose Cabanero, MD
• Amy Hart Caldwell, FNP-BC

• Licensed Practical Nurse in Seneca, SC
• Providers in Seneca, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.