Active NPI
Anderson School District Four
- Registered Nurse
- Anderson, SC
National Provider Identifier
1104252584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 213023
- Legal business name
- ANDERSON SCHOOL DISTRICT FOUR
- Practice address
- 7324 Highway 187
Anderson, SC 29625-6911 - Phone
- (864) 403-2100
- Fax
- (864) 646-8066
- NPI assigned
- Sep 18, 2013
- Last updated
- Sep 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry Young
- Title
- Chief Financial Officer
- Phone
- (864) 403-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 213023 | SC | Primary |
Addresses
Primary practice location
7324 Highway 187
Anderson, SC 29625-6911
Mailing address
315 E Queen St
Pendleton, SC 29670-1721
Phone (864) 403-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0404 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Anderson District 4
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- School Registered Nurse
- Pendleton, SC
- NPI 1487991501
-
- School Psychologist
- Pendleton, SC
- NPI 1508102328
-
- Registered Nurse
- La France, SC
- NPI 1508103797
-
- School Registered Nurse
- Pendleton, SC
- NPI 1922345164
-
- Local Education Agency (LEA)
- Pendleton, SC
- NPI 1942275649
Locations
7324 Highway 187
Anderson, SC 29625
Phone (864) 403-2100
315 E Queen St
Pendleton, SC 29670
Phone (864) 403-2000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Athletic Trainer
- Anderson, SC
- NPI 1942552229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379462400000",
"number": "1104252584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E QUEEN ST",
"city": "PENDLETON",
"state": "SC",
"postal_code": "296701721",
"telephone_number": "864-403-2000",
"fax_number": "864-403-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7324 HIGHWAY 187",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296256911",
"telephone_number": "864-403-2100",
"fax_number": "864-646-8066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERSON SCHOOL DISTRICT FOUR",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-18",
"last_updated": "2013-09-18",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "864-403-2000"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "SC",
"license": "213023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0404",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
- Anderson Prosthetics & Orthotics, LLC (ForMotion Clinic)
- Anderson Psychiatry and Psychotherapy, LLC
- Anderson SC Opco LLC (Condor Health Anderson)
- Anderson School District Five
- Anderson School District Five
- Anderson Skin and Cancer Clinic PA (Dermatopathology Consultation Service)
- Anderson Sleep and Lung Center PC
- Anderson Spine & Injury Chiropractic Center
- Anderson Surgical Associates
- Anderson University (Anderson University Athletics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.