Active NPI
Susan E Alexander, RN
- Registered Nurse
- Beaufort, SC
National Provider Identifier
1194044404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 206647
- Practice address
- 2805 W Royal Oaks Dr
Beaufort, SC 29902-5906 - Phone
- (317) 340-9642
- NPI assigned
- May 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206647 | SC | MD | Registered Nurse |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 206647 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2805 W Royal Oaks Dr
Beaufort, SC 29902-5906
Mailing address
2805 W Royal Oaks Dr
Beaufort, SC 29902-5906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 26, 2010.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1194044404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 W ROYAL OAKS DR",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 W ROYAL OAKS DR",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025906",
"telephone_number": "317-340-9642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "206647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.