Active NPI
Peggy G Fields, MA COUNSELING
- Student in an Organized Health Care Education/Training Program
- Conway, SC
National Provider Identifier
1144496100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 3612
- Practice address
- 1620 Sherwood Dr
Conway, SC 29526-3046 - Phone
- (843) 488-6274
- NPI assigned
- Apr 30, 2008
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 3612 | NC | Primary |
Addresses
Primary practice location
1620 Sherwood Dr
Conway, SC 29526-3046
Mailing address
PO Box 332
Evergreen, NC 28438-0332
Phone (910) 648-2416
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3612 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1144496100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 332",
"city": "EVERGREEN",
"state": "NC",
"postal_code": "284380332",
"telephone_number": "910-648-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 SHERWOOD DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295263046",
"telephone_number": "843-488-6274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "PEGGY",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "MA COUNSELING",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "3612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.