Organization Active NPI

MSN Management, LLC

  • Certified Registered Nurse Anesthetist
  • Irmo, SC
National Provider Identifier
1083003941
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MSN MANAGEMENT, LLC
Practice address
1 Wellness Blvd
Suite 111
Irmo, SC 29063-2871
Phone
(803) 917-1684
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Mrs. Loretta Ricard Noles
Title
Partner
Phone
(803) 917-1684

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1 Wellness Blvd
Suite 111
Irmo, SC 29063-2871

Mailing address

1 Wellness Blvd
Suite 111
Irmo, SC 29063-2871
Phone (615) 620-2320

National Provider Directory

National Provider Directory

Locations

1 Wellness Blvd
Ste 111
Irmo, SC 29063
Phone (803) 749-3770

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1083003941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD",
            "address_2": "SUITE 111",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632871",
            "telephone_number": "615-620-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD",
            "address_2": "SUITE 111",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632871",
            "telephone_number": "803-917-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "NOLES",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "RICARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-917-1684",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.