Shanice Wilson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

240329 Issued in SC

Practice address

109 Knox Abbott Dr Unit 2112
Cayce, SC 29033-4410

Phone

(803) 406-0597

NPI assigned

Dec 15, 2020

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1093301970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 KNOX ABBOTT DR UNIT 2112",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290334410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 KNOX ABBOTT DR UNIT 2112",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290334410",
            "telephone_number": "803-406-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHANICE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "240329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Grube Wellman, MS, APRN
• Felicia B Wesley, BSN
• Holly May Wheeling, MD
• Lauryn Williams, LMSW
• Marco Fukuyama Williams, MA
• Jamison Lewis Winn, PHARMD
• Nancy M. Winston, LPC
• James Alan Wright, MD
• Amy Gao Xie, MD
• Rebecca Anne Zobel, NP-C

• All providers in Cayce, SC
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.