Edwina Yvonnw Guillebeaux-Quarles, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

243122 Issued in SC

Practice address

503 S Main St Ste 6025
Mauldin, SC 29662-2204

Phone

(864) 593-3369

NPI assigned

Mar 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Heart of a Queen Homecare Services, LLC

  • Home Health Registered Nurse
  • Mauldin, SC
  • NPI 1922785203
  NPD Authorized official

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1134823263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 BROOKS RD",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622754",
            "telephone_number": "864-593-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S MAIN ST STE 6025",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622204",
            "telephone_number": "864-593-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEBEAUX-QUARLES",
        "first_name": "EDWINA",
        "middle_name": "YVONNW",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "243122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Vladimirovna Glinyany
• Andrew Nathanel Goorsky
• Taylor Gradwell
• Greenville ADHD Specialists, PA
• GSM Home Care,Inc
• Navneet Gupta, MD
• Hair Replacement Systems and Hairstyles USA Inc.
• Daniel Joseph Halasz, D.M.D.
• Esboniquia Hamilton, M.A. CCC-SLP
• Loran Kimberly Hardigree, PHARM D

• Registered Nurse in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.