Viki Lambertus, FNP
Individual provider Active NPI Family Nurse Practitioner · Little River, SC
NPI 1265746002 · NPPES record last updated Jun 22, 2016
Key facts
- NPI
- 1265746002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 20124 (SC)
- Practice address
- 4303 Live Oak Dr
Little River, SC 29566-9138 - Phone
- (843) 663-8000
- NPI assigned
- Aug 4, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Little River Medical Center Inc
Practice addresses (Care Compare)
1075 Mr Joe White Ave
Unit 101
Myrtle Beach, SC 29577-5658
Phone 84366380008294
3515 Caduceus Dr
Suite B
Myrtle Beach, SC 29588-2922
Phone (843) 663-8013
3817 Main St
Loris, SC 29569-3017
Phone (843) 663-8000
4303 Live Oak Dr
Little River, SC 29566-9138
Phone (843) 663-8000
7724 N Kings Hwy
Myrtle Beach, SC 29572-3041
Phone (843) 663-8000
Hospital & facility affiliations
- McLeod Loris Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160708001695 | SC | Practitioner - Nurse Practitioner | 5799809935 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20124 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little River Medical Center, Inc. | Family | Current |
Accepting new patients |
| Little River Medical Center, Inc. | Current |
Accepting new patients | |
| Little River Medical Center Inc | Family | Current |
Accepting new patients |
| Little River Medical Center, Inc. | Family | Current |
Accepting new patients |
| Ucb Properties LLC | Past | Accepting new patients | |
| Whiteville Medical Associates PA | Past | Accepting new patients | |
| Chicora Medical Group PA | Past | Accepting new patients |
Locations
4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939
3817 Main St
Loris, SC 29569
Phone (843) 663-8297
3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689
7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939
Interoperability endpoints
- viki.lambertus@lrmcenter.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5004752 | NC | |
| Family Nurse Practitioner | 363LF0000X | 20124 | SC | Yes |
Addresses
Primary practice location
4303 Live Oak Dr
Little River, SC 29566-9138
Mailing address
PO Box 547
Little River, SC 29566-0547
Phone (843) 663-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3870 | Medicaid | SC |
Other providers in Little River, SC
- Nicholas Koroneos
- Sandra L Kozel-Diamond
- Lyn-Marie Kuball
- Robin Sue Labod
- Heidi Sara Lagasse
- Jason Landino
- Natalya Lango
- Sara Lara
- Amanda Turbeville Larson
- Bess Alexandra Lawther
All providers in Little River, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.