Individual provider Active NPI

Telonia Shannon Nance, MPH

  • Case Manager/Care Coordinator
  • Columbia, SC
National Provider Identifier
1104515469
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1140 Briargate Cir
Columbia, SC 29210-6504
Phone
(803) 764-3011
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary
School Counselor 101YS0200X 307682 SC

Addresses

Primary practice location

1140 Briargate Cir
Columbia, SC 29210-6504

Mailing address

3022 Danfield Dr
Columbia, SC 29204-3159
Phone (843) 617-7212

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

LicenseStateTypeSpecialty
307682SCMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Therapeutic Services, Inc CurrentSince May 7, 2023 Accepting new patients
Carolina Therapeutic Services, Inc PastSince May 7, 2023 Accepting new patients

Locations

1140 Briargate Cir
Columbia, SC 29210
Phone 8037643011 ext. 810

Organizations & group practices 2

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": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1104515469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 DANFIELD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043159",
            "telephone_number": "843-617-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BRIARGATE CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292106504",
            "telephone_number": "803-764-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "TELONIA",
        "middle_name": "SHANNON",
        "credential": "MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "SC",
            "license": "307682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.