Individual provider Active NPI

Gwendolyn Geddies, RN., C.

  • Registered Nurse
  • Mount Pleasant, SC
National Provider Identifier
1093946550
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
712032 Issued in TX
Practice address
1150 Hungryneck Blvd
Suite C-364
Mount Pleasant, SC 29464-3484
Phone
(843) 388-9990
Fax
(843) 388-0349
NPI assigned
Jul 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 712032 TX Primary

Addresses

Primary practice location

1150 Hungryneck Blvd
Suite C-364
Mount Pleasant, SC 29464-3484

Mailing address

1150 Hungryneck Blvd
Suite C-364
Mount Pleasant, SC 29464-3484
Phone (843) 388-9990

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
712032TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Speech & Language Assoc, LLC Past Accepting new patients

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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1093946550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 HUNGRYNECK BLVD",
            "address_2": "SUITE C-364",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643484",
            "telephone_number": "843-388-9990",
            "fax_number": "843-388-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 HUNGRYNECK BLVD",
            "address_2": "SUITE C-364",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643484",
            "telephone_number": "843-388-9990",
            "fax_number": "843-388-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDIES",
        "first_name": "GWENDOLYN",
        "credential": "RN., C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "712032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.