Individual provider Active NPI

Cielita K. Halyard, APRN

  • Family Nurse Practitioner
  • Goose Creek, SC
National Provider Identifier
1154872919
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20529 Issued in SC
Practice address
119 Springhall Dr
Goose Creek, SC 29445-5368
Phone
(843) 266-2520
Fax
(843) 553-4436
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20529 SC Primary

Addresses

Primary practice location

119 Springhall Dr
Goose Creek, SC 29445-5368

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 695-6071

Other practice location 1

119 Springhall Dr
Goose Creek, SC 29445
Phone (843) 266-2520

Other practice location 2

101 Springhall Dr
Goose Creek, SC 29445-5336
Phone (843) 558-8943

Other identifiers 1

IdentifierTypeStateIssuer
NP4516MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130000491 SC Practitioner - Nurse Practitioner 8527348002 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Primary Care Physicians LLCGroup PAC ID 4880508068, 148 clinicians

Practice addresses (Care Compare)

119 Springhall Dr
Goose Creek, SC 29445-5368
Phone (843) 695-6071

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fetter Health Care Network, Inc CurrentSince Jul 3, 2017 Accepting new patients
Fetter Health Care Network Inc CurrentSince Jul 3, 2017 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Feb 25, 2019 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Jan 30, 2019 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Feb 25, 2019 Accepting new patients
Fetter Health Care Network, Inc. Current Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Oct 4, 2017 Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477

51 Nassau St
Charleston, SC 29403

119 Springhall Dr
Goose Creek, SC 29445
Phone (843) 266-2520

110 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 973-8503

5225 Highway 165
Hollywood, SC 29449
Phone (843) 670-5474

2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444

Interoperability endpoints

  • Direct secure messaging: cielita.halyard@ppcp1.eclinicaldirectplus.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1154872919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SPRINGHALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455368",
            "telephone_number": "843-266-2520",
            "fax_number": "843-553-4436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Springhall Dr",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "29445",
            "country_code": "US",
            "telephone_number": "843-266-2520",
            "fax_number": "843-553-4436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Springhall Dr",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294455336",
            "country_code": "US",
            "telephone_number": "843-558-8943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALYARD",
        "first_name": "CIELITA",
        "middle_name": "K.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4516",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.