Active NPI
Ethel Jane Amerson, RN, MSN
- Registered Nurse
- North Charleston, SC
National Provider Identifier
1245685171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 26359
- Practice address
- 3180 Thomasena McPherson Blvd, Nursing Module
Charleston County School Districe
North Charleston, SC 29405 - Phone
- (843) 745-2179
- Fax
- (843) 745-2182
- NPI assigned
- Apr 28, 2016
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26359 | SC | Primary |
Addresses
Primary practice location
3180 Thomasena McPherson Blvd, Nursing Module
Charleston County School Districe
North Charleston, SC 29405
Mailing address
3180 Thomasena McPherson Blvd, Nursing Module
Charleston County School Districe
North Charleston, SC 29405
Phone (843) 745-2179
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26359 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1245685171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 THOMASENA MCPHERSON BLVD, NURSING MODULE",
"address_2": "CHARLESTON COUNTY SCHOOL DISTRICE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "29405",
"telephone_number": "843-745-2179",
"fax_number": "843-745-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 THOMASENA MCPHERSON BLVD, NURSING MODULE",
"address_2": "CHARLESTON COUNTY SCHOOL DISTRICE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "29405",
"telephone_number": "843-745-2179",
"fax_number": "843-745-2182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMERSON",
"first_name": "ETHEL",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "RN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-28",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "26359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
- America's Best Contacts & Eyeglasses
- American Current Care P.a . (Concentra Urgent Care)
- American Current Care P.a.
- American Current Care PA (Concentra Urgent Care)
- American Current Care, P.a. (Concentra urgent Care)
- Lindsay Michelle Amoriello, RN
- Austin Skyler Amos, MD
- Eugene Ancrum II, PA
- Benjamin Anders, D.D.S., M.D.S.
- Susan Anderson Mullins, LICENSED OPTICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.