Active NPI
Sharon L. Reaves, LPN
- Licensed Practical Nurse
- Marion, SC
National Provider Identifier
1114360609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 164W00000X
- Practice address
- 719 N Main St
Marion, SC 29571-2517 - Phone
- (843) 423-1811
- NPI assigned
- Apr 15, 2013
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 164W00000X | SC | Primary |
Addresses
Primary practice location
719 N Main St
Marion, SC 29571-2517
Mailing address
111 Academy St
Mullins, SC 29574-2201
Phone (843) 464-3725
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 |
|---|---|---|---|
| 164W00000X | SC | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion County School District | Past | Accepting new patients | |
| Marion School District One | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Marion, SC
- NPI 1083976435
-
- Local Education Agency (LEA)
- Marion, SC
- NPI 1235182825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1114360609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ACADEMY ST",
"city": "MULLINS",
"state": "SC",
"postal_code": "295742201",
"telephone_number": "843-464-3725",
"fax_number": "843-464-3728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 N MAIN ST",
"city": "MARION",
"state": "SC",
"postal_code": "295712517",
"telephone_number": "843-423-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAVES",
"first_name": "SHARON",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-15",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "SC",
"license": "164W00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.