Active NPI
Shari Diane Hulbert, MSN, FNP
- Family Nurse Practitioner
- Charleston, SC
National Provider Identifier
1235114455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19162
- Practice address
- 2097 Henry Tecklenburg Dr
Ste. 311W
Charleston, SC 29414-5740 - Phone
- (843) 402-1084
- Fax
- (843) 402-3093
- NPI assigned
- Dec 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN31335 | RI | |
| Family Nurse Practitioner | 363LF0000X | 19162 | SC | Primary |
Addresses
Primary practice location
2097 Henry Tecklenburg Dr
Ste. 311W
Charleston, SC 29414-5740
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN31335 | RI | MD | Family Nurse Practitioner |
| 19162 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Hospital Inc. | Current | Accepting new patients | |
| Roper Hospital, Inc. | Current | Accepting new patients |
Locations
1481 Tobias Gadson Blvd
Ste 1
Charleston, SC 29407
Phone (843) 402-0367
416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411
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.
-
- Infectious Disease Physician
- Charleston, SC
- NPI 1104150739
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- N. Charleston, SC
- NPI 1104563758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1235114455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "843-789-1620",
"fax_number": "843-724-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 HENRY TECKLENBURG DR",
"address_2": "STE. 311W",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145740",
"telephone_number": "843-402-1084",
"fax_number": "843-402-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULBERT",
"first_name": "SHARI",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-09",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "RN31335",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "19162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.