Rebecca Hornung Jiannuzzi, PNP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20051312 Issued in SC

Practice address

312 Midland Parkway
Summerville, SC 29485-8102

Phone

(843) 875-6262

Fax

(843) 873-7958

NPI assigned

Jan 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Southern Medical Management, LLC

  • Pediatrics Physician
  • Lexington, SC
  • NPI 1114196557
  NPD (past)
• Sweetgrass Pediatrics

  • Pediatrics Physician
  • North Charleston, SC
  • NPI 1437168135
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1144200726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MIDLAND PARKWAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858102",
            "telephone_number": "843-875-6262",
            "fax_number": "843-873-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MIDLAND PARKWAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858102",
            "telephone_number": "843-875-6262",
            "fax_number": "843-873-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANNUZZI",
        "first_name": "REBECCA",
        "middle_name": "HORNUNG",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "2803",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "20051312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028035",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael C Jenkins, OTR/L
• Tonya Tomika Jenkins, CERTIFIED HAIR LOSS
• Doris Jenkinslpc, LPC
• Kimberly Jane Jennings, APRN
• Michael Raymond Jensen, RBT
• Kyriatjearim Jimenez Sanchez
• Dana Johno
• Lisa Renee Johnson-Brown, MOTR/L
• Amanda Johnson
• Amber Lauren Johnson, LPC

• Pediatrics Physician in Summerville, SC
• Providers in Summerville, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.