Active NPI
Nomava Mfecane, OTR/L
- Occupational Therapist
- Darlington, SC
National Provider Identifier
1235238395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2152
- Practice address
- 105 Williamson PL
Darlington, SC 29532-2931 - Phone
- (843) 395-6993
- NPI assigned
- Sep 22, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2152 | SC | Primary |
Addresses
Primary practice location
105 Williamson PL
Darlington, SC 29532-2931
Mailing address
105 Williamson PL
Darlington, SC 29532-2931
Phone (843) 395-6993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH1695 | Medicaid | SC |
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 |
|---|---|---|---|
| 2152 | SC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1235238395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WILLIAMSON PL",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295322931",
"telephone_number": "843-395-6993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WILLIAMSON PL",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295322931",
"telephone_number": "843-395-6993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MFECANE",
"first_name": "NOMAVA",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "2152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH1695",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Darlington, SC
- Med-Center Pharmacy & Medical Supply LLC (Medical Center Pharmacy and Medical Supply)
- Medford Nursing Center LLC
- Medic of South Carolina, LLC
- Medone Medical Transport, LLC
- Isabel Mendoza, M.D.
- Milestones Developmental Services
- Shoffina Genevieve Milliner-Baker
- Montclare Medical Services, LLC
- Montclare Medical Services, LLC
- Patricia Ann Montgomery, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.