Active NPI
Sandra Diane Waskowski, APRN-BC
- Family Nurse Practitioner
- Clemson, SC
National Provider Identifier
1154509016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 803
- Practice address
- 885 Tiger Blvd
Clemson, SC 29631-1480 - Phone
- (864) 654-6800
- NPI assigned
- Feb 3, 2008
- Last updated
- Feb 3, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 803 | SC | Primary |
Addresses
Primary practice location
885 Tiger Blvd
Clemson, SC 29631-1480
Mailing address
PO Box 293
Clemson, SC 29633-0293
Phone (864) 886-0777
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803 | SC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201996800000",
"number": "1154509016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 293",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296330293",
"telephone_number": "864-886-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 TIGER BLVD",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296311480",
"telephone_number": "864-654-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASKOWSKI",
"first_name": "SANDRA",
"middle_name": "DIANE",
"credential": "APRN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-03",
"last_updated": "2008-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clemson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.