Active NPI
Rebecca H Niswonger, PEER SUPPORT SPECIAL
- Counselor
- Sumter, SC
National Provider Identifier
1154719342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 215 N Magnolia St
Sumter, SC 29150-4943 - Phone
- (803) 775-9364
- Fax
- (803) 773-6615
- NPI assigned
- Dec 23, 2014
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
215 N Magnolia St
Sumter, SC 29150-4943
Mailing address
215 N Magnolia St
Sumter, SC 29150-4943
Phone (803) 775-9364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3338 | Medicaid | SC |
Other names 1
- Ms. Rebbecca E Hardee
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419292800000",
"number": "1154719342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N MAGNOLIA ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504943",
"telephone_number": "803-775-9364",
"fax_number": "803-773-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N MAGNOLIA ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504943",
"telephone_number": "803-775-9364",
"fax_number": "803-773-6615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISWONGER",
"first_name": "REBECCA",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "PEER SUPPORT SPECIAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-23",
"last_updated": "2014-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3338",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBBECCA",
"last_name": "HARDEE",
"middle_name": "E",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.