Individual provider Active NPI

Duveen Woolbright, FNP

  • Family Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1215062088
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1615 Issued in SC
Practice address
566 Kent St
Spartanburg, SC 29301-5237
Phone
(864) 590-6932
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

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 F1615 SC Primary

Addresses

Primary practice location

566 Kent St
Spartanburg, SC 29301-5237

Mailing address

566 Kent St
Spartanburg, SC 29301-5237
Phone (864) 590-6932

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
I20180206001106 SC Practitioner - Nurse Practitioner 5092075382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

206 Elliott Rd
Lyman, SC 29365-1620
Phone (864) 485-2172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1615SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Health Solutions LLC CurrentSince Dec 11, 2017 Accepting new patients

Locations

206 Elliott Rd
Lyman, SC 29365
Phone (864) 439-6559

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215062088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 KENT ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015237",
            "telephone_number": "864-590-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 KENT ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015237",
            "telephone_number": "864-590-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLBRIGHT",
        "first_name": "DUVEEN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F1615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.