Individual provider Active NPI

Stephanie Necole Townsend, APRN-BC

  • Primary Care Nurse Practitioner
  • Florence, SC
National Provider Identifier
1215173257
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
22668 Issued in SC
Practice address
309 W Palmetto St
Florence, SC 29501-4417
Phone
(843) 662-2811
Fax
(843) 662-6337
NPI assigned
Dec 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 22668 SC Primary

Addresses

Primary practice location

309 W Palmetto St
Florence, SC 29501-4417

Mailing address

309 W Palmetto St
Florence, SC 29501-4417
Phone (843) 662-2811

Other practice location 1

1324 Commerce Drive
Dillon, SC 29536-1324
Phone (843) 774-3351

Other identifiers 1

IdentifierTypeStateIssuer
405127MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22668SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients
Max Primary Care LLC PastSince May 8, 2022 Accepting new patients

Organizations & group practices 2

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": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1215173257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014417",
            "telephone_number": "843-662-2811",
            "fax_number": "843-454-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014417",
            "telephone_number": "843-662-2811",
            "fax_number": "843-662-6337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1324 Commerce Drive",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "SC",
            "postal_code": "295361324",
            "country_code": "US",
            "telephone_number": "843-774-3351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "STEPHANIE",
        "middle_name": "NECOLE",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "22668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405127",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.