Individual provider Active NPI

Iselyn Yevette Hamilton, ARNP

  • Pediatric Nurse Practitioner
  • Beaufort, SC
National Provider Identifier
1144285537
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
20172 Issued in SC
Practice address
964 Ribaut Rd
Beaufort, SC 29902-5429
Phone
(843) 524-5437
Fax
(843) 524-4150
NPI assigned
Apr 19, 2006
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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 20172 SC Primary

Addresses

Primary practice location

964 Ribaut Rd
Beaufort, SC 29902-5429

Mailing address

964 Ribaut Rd
Beaufort, SC 29902-5429
Phone (843) 524-5437

Other names 1

  • Iselyn Y Dallas Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20172SCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Pediatrics, P.a. Past Accepting new patients
Beaufort Pediatrics, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: iselynhamilton@lp.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1144285537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025429",
            "telephone_number": "843-524-5437",
            "fax_number": "843-524-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025429",
            "telephone_number": "843-524-5437",
            "fax_number": "843-524-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "ISELYN",
        "middle_name": "YEVETTE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "20172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISELYN",
            "last_name": "DALLAS",
            "middle_name": "Y",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.