Individual provider Active NPI

Bernadette Yvonne Pinkney, FNP

  • Family Nurse Practitioner
  • North Charleston, SC
National Provider Identifier
1194728659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F665 Issued in SC
Practice address
2047 Comstock Ave
North Charleston, SC 29405-8117
Phone
(843) 308-2400
Fax
(843) 744-8936
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 F665 SC Primary

Addresses

Primary practice location

2047 Comstock Ave
North Charleston, SC 29405-8117

Mailing address

8707 Lockerly CT
North Charleston, SC 29420-6807
Phone (843) 452-1307

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
I20180719003321 SC Practitioner - Nurse Practitioner 2668616301 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40393SCMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Counseling CurrentSince Apr 24, 2018 Accepting new patients

Locations

4711 Forest Dr
Ste 3
Columbia, SC 29206
Phone (646) 450-8990

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194728659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 LOCKERLY CT",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294206807",
            "telephone_number": "843-452-1307",
            "fax_number": "843-744-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 COMSTOCK AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058117",
            "telephone_number": "843-308-2400",
            "fax_number": "843-744-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKNEY",
        "first_name": "BERNADETTE",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.