Active NPI
Susan Annette West Hallman, RNC GONP
- Obstetrics & Gynecology Nurse Practitioner
- Aiken, SC
National Provider Identifier
1235128141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 17974
- Practice address
- 471 University Pkwy
Aiken, SC 29801-6389 - Phone
- (803) 641-2840
- Fax
- (803) 641-2858
- NPI assigned
- Oct 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 17974 | SC | Primary |
Addresses
Primary practice location
471 University Pkwy
Aiken, SC 29801-6389
Mailing address
471 University Pkwy
Aiken, SC 29801-6389
Phone (803) 641-2840
Other names 1
- Mrs. Susan Annette West
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055486 | GA | MD | Internal Medicine Physician |
| 17974 | SC | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Carolina Aiken | Past | Accepting new patients | |
| Edouard J Servy MD PC | Past | 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.
-
- Athletic Trainer
- Aiken, SC
- NPI 1790111094
-
- Obstetrics & Gynecology Physician
- Augusta, GA
- NPI 1124016316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1235128141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 UNIVERSITY PKWY",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016389",
"telephone_number": "803-641-2840",
"fax_number": "803-641-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 UNIVERSITY PKWY",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016389",
"telephone_number": "803-641-2840",
"fax_number": "803-641-2858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLMAN",
"first_name": "SUSAN",
"middle_name": "ANNETTE WEST",
"name_prefix": "Mrs.",
"credential": "RNC GONP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "SC",
"license": "17974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "WEST",
"middle_name": "ANNETTE",
"prefix": "MRS.",
"credential": "RNC GONP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.