Active NPI
Sedeia Hanesworth
- Community Health Registered Nurse
- Ladson, SC
National Provider Identifier
1215301288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 222260
- Practice address
- 9698 Patriot Blvd Apt 228
Ladson, SC 29456-8510 - Phone
- (843) 367-2947
- NPI assigned
- Nov 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 222260 | SC | Primary |
Addresses
Primary practice location
9698 Patriot Blvd Apt 228
Ladson, SC 29456-8510
Mailing address
9698 Patriot Blvd Apt 228
Ladson, SC 29456-8510
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
| License | State | Type | Specialty |
|---|---|---|---|
| 222260 | SC | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1215301288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9698 PATRIOT BLVD APT 228",
"city": "LADSON",
"state": "SC",
"postal_code": "294568510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9698 PATRIOT BLVD APT 228",
"city": "LADSON",
"state": "SC",
"postal_code": "294568510",
"telephone_number": "843-367-2947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANESWORTH",
"first_name": "SEDEIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-13",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "222260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ladson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.