Individual provider Active NPI

Debbie Uche Igwilo, NP

  • Family Nurse Practitioner
  • Moncks Corner, SC
National Provider Identifier
1265051692
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.23848.APRN Issued in SC
Practice address
157 Weeping Cypress Dr
Moncks Corner, SC 29461-6720
Phone
(901) 319-0004
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.23848.APRN SC Primary

Addresses

Primary practice location

157 Weeping Cypress Dr
Moncks Corner, SC 29461-6720

Mailing address

157 Weeping Cypress Dr
Moncks Corner, SC 29461-6720
Phone (901) 319-0004

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201110001450 SC Practitioner - Nurse Practitioner 1557771102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
23848SCMDEmergency Medicine Physician
APN.23848.APRNSCMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1265051692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WEEPING CYPRESS DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294616720",
            "telephone_number": "901-319-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 WEEPING CYPRESS DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294616720",
            "telephone_number": "901-319-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGWILO",
        "first_name": "DEBBIE",
        "middle_name": "UCHE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.23848.APRN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

Verify at the official NPI Registry.