Individual provider Active NPI

Jill Slice, W.H.N.P.

  • Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1114190451
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1406 Issued in SC
Practice address
1801 Sunset Dr Ste 200
Columbia, SC 29203-6803
Phone
(803) 434-4100
Fax
(803) 434-4155
NPI assigned
Apr 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1406 SC Primary

Addresses

Primary practice location

1801 Sunset Dr Ste 200
Columbia, SC 29203-6803

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 777-8920

Other practice location 1

1409 Devine St
Columbia, SC 29208-3902
Phone (803) 777-8920

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1406SCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1114190451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-777-8920",
            "fax_number": "803-777-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SUNSET DR STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036803",
            "telephone_number": "803-434-4100",
            "fax_number": "803-434-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 Devine St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292083902",
            "country_code": "US",
            "telephone_number": "803-777-8920",
            "fax_number": "803-777-0621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLICE",
        "first_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "W.H.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "1406",
            "primary": true
        }
    ],
    "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 Mar 23, 2020; 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.