Individual provider Active NPI

Dawn Nicole Fox, CPNP

  • Pediatric Nurse Practitioner
  • Murrells Inlet, SC
National Provider Identifier
1134223233
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2023 Issued in SC
Practice address
140 Bandage Court
Murrells Inlet, SC 29576-2699
Phone
(843) 652-3300
Fax
(843) 652-3200
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2023 SC Primary

Addresses

Primary practice location

140 Bandage Court
Murrells Inlet, SC 29576-2699

Mailing address

PO Box 4920
Murrells Inlet, SC 29576-2699
Phone (843) 652-3300

Other identifiers 3

IdentifierTypeStateIssuer
09584567MedicaidMS
NP1026MedicaidSC
51548428OtherALBCBS - 1504 SPRINGHILL AVE

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
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2023SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetgrass Pediatrics Past Accepting new patients
Inlet Pediatrics PA 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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1134223233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4920",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762699",
            "telephone_number": "843-652-3300",
            "fax_number": "843-652-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BANDAGE COURT",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762699",
            "telephone_number": "843-652-3300",
            "fax_number": "843-652-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "DAWN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "2023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09584567",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1026",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - 1504 SPRINGHILL AVE",
            "identifier": "51548428",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.