Active NPI
Sharon Dawn Stoudemayer, N.P.
- Family Nurse Practitioner
- Columbia, SC
National Provider Identifier
1154792893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19744
- Practice address
- 1301 Taylor St
Columbia, SC 29201-2942 - Phone
- (803) 296-5914
- Fax
- (803) 296-5902
- NPI assigned
- Oct 7, 2015
- 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 | 19744 | SC | Primary |
Addresses
Primary practice location
1301 Taylor St
Columbia, SC 29201-2942
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 797-6308
Other practice location 1
3551A Rutherford Rd
Taylors, SC 29687-2195
Phone (864) 522-4750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3619 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sstoudemayer163066@direct.ghs.myhfn.org | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landrum Family Healthcare Center, PA | Past | Accepting new patients |
Interoperability endpoints
- sstoudemayer163066@direct.ghs.myhfn.org
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Landrum, SC
- NPI 1255526364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1154792893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-797-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 TAYLOR ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012942",
"telephone_number": "803-296-5914",
"fax_number": "803-296-5902"
}
],
"practiceLocations": [
{
"address_1": "3551A Rutherford Rd",
"address_purpose": "LOCATION",
"city": "Taylors",
"state": "SC",
"postal_code": "296872195",
"country_code": "US",
"telephone_number": "864-522-4750",
"fax_number": "864-522-4755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOUDEMAYER",
"first_name": "SHARON",
"middle_name": "DAWN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "19744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP3619",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sstoudemayer163066@direct.ghs.myhfn.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "sstoudemayer163066@direct.ghs.myhfn.org",
"address_1": "3551A Rutherford Rd",
"city": "Taylors",
"state": "SC",
"country_code": "US",
"postal_code": "296872195",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.