Heather Church Stavrakas, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

19200 Issued in SC

Practice address

329 Friends Lane
Ridgeland, SC 29936-5175

Phone

(843) 525-6257

Fax

(843) 525-9418

NPI assigned

Mar 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Friends of Caroline Hospice of Beaufort, Inc

  • Community Based Hospice Care Agency
  • Ridgeland, SC
  • NPI 1518200302
  Medicare reassignment NPD
• Friends of Caroline Hospice of Beaufort, Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ridgeland, SC
  • NPI 1679425789
  NPD (past)

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1093986473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 FRIENDS LANE",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299365175",
            "telephone_number": "843-525-6257",
            "fax_number": "843-525-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 FRIENDS LANE",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299365175",
            "telephone_number": "843-525-6257",
            "fax_number": "843-525-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVRAKAS",
        "first_name": "HEATHER",
        "middle_name": "CHURCH",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "138671",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5003921",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "19200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verna Michelle Soles, LPCA
• South Carolina Chiropractic LLC
• South Carolina CTC, LLC
• South Carolina Online Counseling and Group Therapy, LLC
• State of South Carolina
• Ronda Lynn Stevens, PHD, MS, BS, MHP
• Farante Stewart-Ager
• Janet Ann Stoddart, DDS
• Rachel Cowan Stubbs, FNP
• Sustained Care Services, Inc

• Adult Health Nurse Practitioner in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.