Active NPI
Holly Seppala-Williams, REGISTERED NURSE
- Registered Nurse
- Simpsonville, SC
National Provider Identifier
1104104645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 206624
- Practice address
- 915 South St
Suite J
Simpsonville, SC 29681-3219 - Phone
- (864) 329-0010
- Fax
- (864) 228-2221
- NPI assigned
- Aug 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 206624 | SC | Primary |
Addresses
Primary practice location
915 South St
Suite J
Simpsonville, SC 29681-3219
Mailing address
915 South St
Suite J
Simpsonville, SC 29681-3219
Phone (864) 329-0010
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206624 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1104104645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 SOUTH ST",
"address_2": "SUITE J",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296813219",
"telephone_number": "864-329-0010",
"fax_number": "864-228-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 SOUTH ST",
"address_2": "SUITE J",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296813219",
"telephone_number": "864-329-0010",
"fax_number": "864-228-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPPALA-WILLIAMS",
"first_name": "HOLLY",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "206624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.