Individual provider Active NPI

Carmen Esper, CRNA

  • Certified Registered Nurse Anesthetist
  • Loris, SC
National Provider Identifier
1205977667
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
93225 Issued in SC
Practice address
3655 Mitchell St
Loris, SC 29569-9601
Phone
(843) 716-7000
Fax
(843) 716-7093
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 93225 SC Primary

Addresses

Primary practice location

3655 Mitchell St
Loris, SC 29569-9601

Mailing address

3655 Mitchell St
Box 690001
Loris, SC 29569-9601
Phone (843) 716-7000

Other identifiers 1

IdentifierTypeStateIssuer
400649MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000930 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820982945 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1923SCMDClinical Psychologist
93225SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Jun 1, 2021 Accepting new patients
McLeod Loris Seacoast Hospital Nurse Anesthetist, Certified Registered CurrentSince Jun 30, 2012 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 1, 2021 Accepting new patients
McLeod Physician Associates II Current Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jun 30, 2012 Accepting new patients

Locations

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

3655 Mitchell St
#690001
Loris, SC 29569
Phone (843) 716-7000

Organizations & group practices 5

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1205977667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 MITCHELL ST",
            "address_2": "BOX 690001",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295699601",
            "telephone_number": "843-716-7000",
            "fax_number": "843-716-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 MITCHELL ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295699601",
            "telephone_number": "843-716-7000",
            "fax_number": "843-716-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPER",
        "first_name": "CARMEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "93225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400649",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loris, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.